tci General Surgery Coding Alert - 2001 Issue 6

Reader Question: Implant Removal

Question: A patient presents with a palpable breast density, and the surgeon performs an excisional breast biopsy. When the pathology report returns, the post-operative diagnosis is a silicone granuloma from a previously ruptured silicone gel implant. The revision and replacement of the ruptured implant were performed a year ago. Is the correct procedure code for the biopsy 19330 or 19120?Washington SubscriberAnswer: The correct code is 19120 (excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion [except 19140], open, male or female, one or more lesions), says Susan Callaway...

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