Need help coding BRCA 1

khdalton

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Patient is being seen for breast reconstruction following risk reduction mastectomy. Patient is BRCA-1 positive. Would you add modifier OA to the E/M code or are there any other codes that you would use.
 

cmcgarry

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Patient is being seen for breast reconstruction following risk reduction mastectomy. Patient is BRCA-1 positive. Would you add modifier OA to the E/M code or are there any other codes that you would use.
0A is a genetic testing code modifier, to be used with 83890-83916, 88230-88299, or other molecular & cytogenic studies. It is not to be appended to the mastectomy codes. Rather, you would show her BRCA-1 positive status with diagnosis code V84.01, genetic susceptibility to malignant neoplasm of the breast. See the instructions with that code as to code first and code additional.

Hope this helps,
 
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