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re-excision for margins following simple mastectomy

  1. #1
    Default re-excision for margins following simple mastectomy
    Medical Coding Books
    I have a question. Can you code a 19301-58 partial mastectomy following a simple mastectomy when the path report recommends additional margins?

  2. Default re-excision of mastectomy site
    Depending on the amount of tissue removed use 19120-58. If an extensive amount of tissue removed then use 19301-58.

  3. #3
    Default Add'l question
    Normally 19120 is used when there is no attention to adequate margins? In this case, that was the intent??

  4. #4
    Maybe I am having a bad brain moment, but I would look at 19120/5 as a procedure that needs margins and the 19301/2, the surgeon is not looking for margins. In the later code the surgeon is removing a bulk of tissue based on anatomical guideposts.

    I recognize that even in the 19300's a surgeon can get sandbagged with a sneeky cancer, a margin comes back positive and they would need to go back for margins.

  5. #5
    oh and I would look at this case as a 19301-58. Forgot to mention that.

    See! Bad Brain Day!

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