Partial mastectomy question

jhericks

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My physician performed a partial mastectomy x2 on the same breast. The patient had a lesion at the 2 0'clock position as well as at the 12 0'clock position. Can i use 19301 twice with a 59 modifier on the second one? Any help would surely be appreciated. JLH
 

surgonc87

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It depends on the documentation and insurance carrier. If the partial mastectomy was done with preoperative placement of radiological markers to help with the guidance as to where the lesion may be, then you can use 19125, then the add on code. If the excision inhibits extra attention to additional margins, then that can be coded as 19301, even with radiological markers guidance.

If the documentation justifies the two separate excisions on one breast, then I think it would be okay to use a 59 on one.

Also use supporting Dx, history, and status...ECT...

MS
 
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