tci General Surgery Coding Alert - 2005 Issue 5

READER QUESTIONS: Use Soft Tissue Code for Post-Mastectomy Excision

Question: How can we code for a patient who has already had a mastectomy due to breast cancer, and must now have a recurrent cancer removed from the chest wall? Oregon Subscriber Answer: Remember the patient no longer has a breast, and therefore the surgeon must remove the tissue from the muscle of the chest wall. In this case, you should report 21556 (Excision tumor, soft tissue of neck or thorax; deep, subfascial, intramuscular). ...

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