AAPC - Back to school
Results 1 to 2 of 2

Thread: Breast Lesion post mastectomy

  1. #1

    Default Breast Lesion post mastectomy

    AAPC: Back to School
    Patient with history of invasive breast cancer with mets to the lymph nodes who had a Modified Radical Mastectomy has develpoed another mass in the same breast adherent to the implant.

    There is a debate as to code this as 19125 or 1140X based on the size.
    The arguement for coding from 1140X series is that there is no breast tissue as it was removed in the prev surgery.

    Report states: Sonographic localization of right breast mass. Mass involving the right reconstructed breast area on the upper outer quadrant. Mass was abutting to the pseudocapsule of the breast prosthesis. Mass was approx 1.5cm. partial excision of the pseudocapsule, including the mass was accomplished with reconstruction of the wound including closure. Incision measured approx 3 cm in length and was carried by means of sharp disscetion to the subcutaneous tissue. The psuedocapsule was entered avoiding damage to the implant and then the mass on the segment of the pseudocapsule was removed.

    thoughts are greatly appreciated

  2. #2
    Join Date
    Apr 2007
    Mansfield, OH


    19125 sites a lesion identified by a preoperative radiological marker placement. Since that was not the case here I would say, not that code.

    but, instead of 1140X, I would choose 19120

Similar Threads

  1. breast mastectomy question
    By BABS37 in forum General Surgery
    Replies: 4
    Last Post: 09-14-2012, 11:27 AM
  2. Breast Mastectomy
    By BABS37 in forum General Surgery
    Replies: 4
    Last Post: 08-22-2012, 09:16 AM
  3. breast mastectomy question
    By BABS37 in forum General Surgery
    Replies: 0
    Last Post: 08-01-2012, 10:10 AM
  4. Lesion Removal from Mastectomy Site
    By nsteinhauser in forum Outpatient Facilities
    Replies: 0
    Last Post: 09-23-2011, 08:48 AM
  5. Replies: 0
    Last Post: 11-05-2009, 12:48 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.