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coding excess skin removal after/mastectomy

  1. Default coding excess skin removal after/mastectomy
    Medical Coding Books
    I currently have a surgeon who removed excess skin from the chest and axillae of a woman patient who had a prophilactic double mastectomy. She had bilateral seroma's which were drained on several occasions.

    Once everything was healed she had excessive skin and the surgeon went in to remove this bilaterally, once the cut was made down to the muscle fascia she encountered the seroma capsule and excised this as well.

    I coded this 15839 w/50 modifier. My supervisor wants to code this 19120 bilateral.

    Need some help on this one asap, THANK YOU!!

  2. #2
    Default coding excess skin removal after mastectomy
    if this surgery was not staged according to the progress notes then
    15839-50-78
    15847
    if it was staged according to the progress notes then
    15839-50-58
    15847

    Quote Originally Posted by Bemcg1957 View Post
    I currently have a surgeon who removed excess skin from the chest and axillae of a woman patient who had a prophilactic double mastectomy. She had bilateral seroma's which were drained on several occasions.

    Once everything was healed she had excessive skin and the surgeon went in to remove this bilaterally, once the cut was made down to the muscle fascia she encountered the seroma capsule and excised this as well.

    I coded this 15839 w/50 modifier. My supervisor wants to code this 19120 bilateral.

    Need some help on this one asap, THANK YOU!!
    Rachele Porter, AS, CPC, CPC-H, CEDC
    no weapons formed against me shall prosper

  3. Default coding excess skin removal after mastectomy
    Can we code 15839 or excess skin and 19120 for seroma capsule excision?

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