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Wiki Mastectomy with sentinel lymph node
- Thread starter Trendale
- Start date
It is the same incision site, do I code it separate with a 59?
efrohna
Guru
Letisha, it depends on the planned procedure.
Example of when to bill both: The planned procedure was mastectomy, partial, SLN bx returns from pathology as malignant. (Results changed the planned procedure to mastectomy w/axilllary lymphadenectomy).
Remember to append 59 modifier to SLN Bx.
Example of when NOT to bill SLN Bx w/ Mastectomy: The planned procedure was mastectomy w/axillary lymphadenectomy, SLN bx results are malignant. (Results did not change planned procedure).
Hopes this helps?
Example of when to bill both: The planned procedure was mastectomy, partial, SLN bx returns from pathology as malignant. (Results changed the planned procedure to mastectomy w/axilllary lymphadenectomy).
Remember to append 59 modifier to SLN Bx.
Example of when NOT to bill SLN Bx w/ Mastectomy: The planned procedure was mastectomy w/axillary lymphadenectomy, SLN bx results are malignant. (Results did not change planned procedure).
Hopes this helps?
cmartin
Guest
It is coded separately when the mastectomy is partial or simple, and ONLY the sentinel node(s) removed.
C.Martin, CPC-GENSG
C.Martin, CPC-GENSG