re-excision for margins following simple mastectomy

janet0221

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I have a question. Can you code a 19301-58 partial mastectomy following a simple mastectomy when the path report recommends additional margins?
 

Pebbles1218

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re-excision of mastectomy site

Depending on the amount of tissue removed use 19120-58. If an extensive amount of tissue removed then use 19301-58.
 

janet0221

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Add'l question

Normally 19120 is used when there is no attention to adequate margins? In this case, that was the intent??
 

Lesainc

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Maybe I am having a bad brain moment, but I would look at 19120/5 as a procedure that needs margins and the 19301/2, the surgeon is not looking for margins. In the later code the surgeon is removing a bulk of tissue based on anatomical guideposts.

I recognize that even in the 19300's a surgeon can get sandbagged with a sneeky cancer, a margin comes back positive and they would need to go back for margins.
 

Lesainc

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oh and I would look at this case as a 19301-58. Forgot to mention that.

See! Bad Brain Day!:eek:
 
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