Results 1 to 3 of 3

Breast mass

  1. #1
    Location
    NEW ORLEANS
    Posts
    954
    Default Breast mass
    Exam Training Packages
    Can a breast mass be coded in the 1140x area ? Reason why I ask is because this patient is a male and pathlogy report came back as an epidermal inclusion cyst. Doctor stated on postoperative report that it was a mass .
    He went on saying in operative report that it was a chest wall mass with an incision was made directly over the mass which then be appeared to be an epidermal cyst. IT did state dissection was carried down through the skin and subcutaneous tissue. He then stated that the entire mass with surrounding filmy white cheesy substance including the sac was removed with surrounding fat.

    SO i want to code 19120 but something tells me to go to go to 1140x ? any ideas ?

  2. #2
    Location
    Milwaukee WI
    Posts
    4,466
    Default 19120
    Lay description from Encoder Pro for 19120 is: The physician excises breast tissue for biopsy. The physician makes an incision in the skin of the breast overlying the site of the mass. Skin and tissue are dissected from the site of the defective tissue. The lesion is removed without attention to obtaining clean margins. Bleeding vessels are controlled with electrocautery or ligated with sutures. A drain may be inserted into the wound. The incision is sutured in layered closure and a light pressure dressing is applied.

    If this matches your op report then 19120 is the correct code to use.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    also remember, do not base your CPT code on the results of the pathology report. Base it upon how the procedure is performed.
    Mary, CPC, CANPC, COSC

Similar Threads

  1. excision of breast mass
    By bench in forum Outpatient Facilities
    Replies: 2
    Last Post: 10-27-2010, 12:09 PM
  2. no breast mass - modifer 74
    By codedog in forum Outpatient Facilities
    Replies: 1
    Last Post: 08-18-2010, 03:33 PM
  3. Excision breast mass
    By Hopp in forum General Surgery
    Replies: 2
    Last Post: 06-23-2010, 02:25 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?

Login

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.