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Thread: Excision breast mass

  1. #1

    Default Excision breast mass

    WOULD anyone be willing to help code the following:
    EXCISION 1 cm Rt breast mass - PATH: Acute dermal
    abscess with associated FB reaction, soft tissue from the right breast; benign
    This I believe was skin no margins - Theres no Op report - this was done in the office
    THANKS, DEB CPC
    Last edited by Hopp; 06-23-2010 at 08:03 AM. Reason: CPT and DX for Medicare

  2. #2
    Join Date
    Apr 2007
    Location
    Kansas City, MO
    Posts
    430

    Default

    Are you needing CPT or DX? If CPT, can you give an excerpt from the op? Was the skin incised and then the specimen excised from the breast? Or was this a skin issue with breast tissue margins?
    Linda Vargas, CPC, CPCO, CPMA, CPC-I, CEMC
    PMCC Licensed Instructor
    Kansas City, MO Chapter
    Member Development Officer 2016
    Harrisonville, MO Chapter President - 2013
    ICD-10 Education Coordinator- 2012
    Chapter President - 2011
    President Elect - 2010

  3. #3

    Default

    Removal of foreign body, complicated. It sounds like just a skin abscess as an inflammatory reaction to the foreign body. that is what the 'Removal of FB, complicated' code is for. if there was more removed than just the FB and the abscess, then you would need more information from your provider, such as depth and size of the lesion removed.

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