Results 1 to 3 of 3

Prophylactic mastectomy w/current ca

  1. #1
    Default Prophylactic mastectomy w/current ca
    Medical Coding Books
    A patient had a bilateral mastectomy for ca in one breast. The other was removed prophylactically at her request. Would I be correct in coding the ca primary for the right breast and using V50.41 (prophylactic breast removal) primary with the ca code secondary for the left? The path came back negative for that breast. Or, do I use the ca code primary for both? Thanks,
    Sue Vermette, CPC, CPMA

  2. #2
    I just coded one like this the other day and I spoke to our oncology coder for advice. She told me that since the breast that had cancer was removed, then she was considered to only have a history of cancer, even if she is still doing chemo. So I coded the prophylactic code first and then the history code. I billed it out and received no edits on it and it went through to medicare without fail. I am not completely sure that I agree with it, but this is just my two cents...

  3. #3
    Good to know. Thanks for your two cents!
    Sue Vermette, CPC, CPMA

Similar Threads

  1. Prophylactic mastectomy and oophorectomy
    By bbooks in forum Pathology & Clinical Laboratory
    Replies: 2
    Last Post: 07-07-2014, 06:11 AM
  2. Prophylactic mastectomy
    By leskysue in forum General Surgery
    Replies: 1
    Last Post: 08-05-2013, 03:10 PM
  3. prophylactic mastectomy
    By efuhrmann in forum General Surgery
    Replies: 1
    Last Post: 07-06-2012, 08:08 AM
  4. Prophylactic mastectomy dx code
    By LDEPASS in forum Diagnosis Coding
    Replies: 5
    Last Post: 08-16-2010, 08:25 AM
  5. Prophylactic Mastectomy
    By tinaval in forum General Surgery
    Replies: 0
    Last Post: 05-21-2008, 01:16 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.