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Confused and a headache!

  1. #1
    Default Confused and a headache!
    Medical Coding Books
    Okay if a patient has a mastectomy, simple, complete with SN biopsy. Would I still just code 00400? How would I code for the biopsy if it is not specified which nodes?

  2. Default
    Quote Originally Posted by klp010102 View Post
    Okay if a patient has a mastectomy, simple, complete with SN biopsy. Would I still just code 00400? How would I code for the biopsy if it is not specified which nodes?
    Check out these codes:
    19303 (00400) simple mastectomy
    38525 (01610) biopsy or excision lymph nodes, deep axillary
    19302 (00402) mastectomy, partial, with axillary lymphadenectomy

    If just an axillary node biopsy was performed, code 01610. Use the same code (01610) for simple mastectomy w/ axil node biopsy as there is no code specifically for that, and the node biopsy is higher base than the mastectomy.

    Does this help?

    LaSeille Willard, CPC

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