Any help would be appreciated on this one...I think I'm overthinking it!
Complaint: excessive breast tissue, bilateral chest wall mastectomy incisions
Findings: Pt first wanted breast reconstruction after mastectomy but then changed her mind. Consequently, excessive axillary tissue was excised bilaterally.
Description of procedure:
Pt received general anesthesia and both chest walls and axillae were prepped and draped with sterile towels. Pt had excess tissue marked with her sitting up before surgery. Local anethesia was used to anesthetize anticipated incisions. Using a #15 blade knife, the excess tissue was excised in an elliptical fashion. This was carried down through skin, subcutaneous tissue and down the scar. Following removal of the tissue, many layers of 2-0 Vicryl were used to close the incisions primarily. The clips were actually used to close the incisions bilaterally. Dressings were applied. The pat was taken awake to the recovery room in satisfactory condition.
I come up with 19318-50 CPT and 611.89 & V45.89 for diagnosis.
When I called the doctor's office they are using 19260-50 CPT and 757.6 for the diagnosis.
Sooooo....I'm not sure if I am coding this right and am missing (not-understanding) their rational.
Any help would really be appreciated.
Diann Do Bran CPC, CPC-H:
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