tci Outpatient Facility Coding Alert - 2015 Issue 6

Reader Questions: Rely on 19499 for Unlisted Breast Procedures

Question: A patient had a mastectomy and had to be brought back to the operating room to look for a bleed as she developed a hematoma at the surgical site. The physician explored the wound for the bleed and cauterized two different areas. What CPT(R) code would I assign for the reopening of the surgical wound with cauterization?  Ohio Subscriber Answer: Since there is no proper code for this particular procedure, you have to resort to unlisted code 19499 (Unlisted procedure, breast). You can use 19499 for any breast procedure that cannot be reported using any of the...

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