tci General Surgery Coding Alert - 2000 Issue 12

Reader Question: Removing a Healthy Breast

Question: A patient has cancer in one breast and needs a modified radical mastectomy. Because there is also a family history for breast cancer, the surgeon recommends and the patient agrees to have her benign breast removed. What diagnosis do you use for the simple mastectomy of the benign breast?Montana SubscriberAnswer: The primary diagnosis for the removal of the healthy breast should be V50.41 (prophylactic organ removal, breast), says Elaine Elliott, CPC, lead practice coder with Treasure Coast Surgical Group in Stuart, Fla. The patients personal history of breast cancer (V10.3) should be included as a...

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