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mastectomy help

  1. Cool mastectomy help
    Medical Coding Books
    I have a patient that had left total mastetomy w/ axillary node biopsy and then on the right had modified radical mastecomy. What is the correct code to be reimbursed for both sides.

    This is what I was thinking
    19305-rt with 59

    really need some help with this one.. please


  2. Default
    It might depend on the payor but this is how I would code this procedure.

    19307/RT -mod radical
    19303/LT -total mastectomy
    38525/LT -axillary biopsy
    38792/LT (if the physician injected the breast with Methyl Blue to identify the sentinal nodes.)

  3. Default
    I agree with puttenesca's answer above.

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