tci Part B Insider - 2005 Issue 28

Part B Coding Coach: 4 Rules To Follow To Make The Best Of Breast Procedures

'Lumpectomy' is a general term, so proceed with caution when choosing excision, mastectomy codesDuring breast procedures, if the surgeon removes a lesion along with a significant portion of surrounding tissue, you should choose a partial mastectomy code. But you'll need a coding makeover if the surgeon removes only the lesion and a small portion of surrounding tissue.Here are four rules that can help guide you through this difficult decision process: Rule 1: Consider Intent To Obtain Margins As a general guideline, if the surgeon removes a breast lesion along with a margin of healthy tissue, you can choose...

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