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Segmental Mastectomy w/ additional margin excision

  1. #1
    Houston Medical Center
    Exclamation Segmental Mastectomy w/ additional margin excision
    Medical Coding Books
    Are re-cuts to the margin of a surgical eval & micro billed separately or should they be bundled into the primary surgical pathology code? I have a case for a localized segmental mastectomy with 2 specimens labeled:

    1 Additional left breast medial-inferior margin,excision
    Breast tissue, no carcinoma identified
    2 Left breast skin & tissue, excision
    Breast tissue & skin, no carcinoma identified


  2. Default
    these can be billed seperately. Should not be bundled .

  3. #3
    Houston Medical Center
    Thanks!!! Path/Lab Coding Alert 2009, Vol. 10 No. 9 You Be the Coder covered the same issue & supported the same thing.

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