kate8
Networker
Can anyone tell me if this is adequate documentation of a Breast Margin to give it an 88307 (vs. an 88305)?:
DIAGNOSIS:
"BREAST, DEEP MARGIN", (EXCISION):
- BENIGN BREAST TISSUE SHOWING STROMAL FIBROSIS, DUCT ECTASIA,
ADENOSIS AND APOCRINE METAPLASIA.
- NO EVIDENCE OF ATYPICAL INTRADUCTAL HYPERPLASIA OR MALIGNANCY.
They also will typically only say "The new margin is inked black" in the gross description.
I see these specimens a lot where I work, and struggle with whether is is adequate documentation that the margins were examined microscopically.
Thanks!
DIAGNOSIS:
"BREAST, DEEP MARGIN", (EXCISION):
- BENIGN BREAST TISSUE SHOWING STROMAL FIBROSIS, DUCT ECTASIA,
ADENOSIS AND APOCRINE METAPLASIA.
- NO EVIDENCE OF ATYPICAL INTRADUCTAL HYPERPLASIA OR MALIGNANCY.
They also will typically only say "The new margin is inked black" in the gross description.
I see these specimens a lot where I work, and struggle with whether is is adequate documentation that the margins were examined microscopically.
Thanks!
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