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lumpectomy with complete axillary lymph node dissection?

  1. #1
    Default lumpectomy with complete axillary lymph node dissection?
    Medical Coding Books
    I am stumped, any ideas would be great. I know this is coded with 19302. My problem is this is a wire-localization lumpectomy. Wire-guided lumpectomy, sentinel node sampling, then completion axillary lymph node dissection. ? If I code 19125 excision of breast lesion identified by preoperative placement of radiological marker, how do I include the total axillary lymphadenopathy? Can I code 19302 since this describes both mastectomy and axillary dissection and forget about the 19125? Thanks!

  2. #2
    St. Louis, Missouri
    I would code it as 19302.

    Melissa Blow, CPC

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