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Another question about MC coverage for breast sx

  1. #1
    Eugene, OR
    Question Another question about MC coverage for breast sx
    Medical Coding Books
    I have a Medicare pt who had a L mastectomy for lobular carcinoma. A few years later, she had a prophylactic R mastectomy, with no evidence of cancer. She had bilateral reconstruction with implants, and she's now wanting both implants replaced or revised. I know MC will cover the L one for the hx of CA, but what about the R?

    Thanks for any help I can get from y'all! -- Jensina

  2. #2
    Default Breast Implants
    Heather Winters, CPC, CFPC

  3. #3
    Eugene, OR
    Thanks so much for the link... pardon my ignorance, but who is UPMC?

  4. Arrow
    University of Pittsburgh Medical Center

    With a team of about 48,000 employees, UPMC serves the health needs of more than 4 million people each year, improving lives in western Pennsylvania – and beyond – through redefined models of health care delivery and superb clinical outcomes.

    Thank You
    Amit Joshi MSc,CPC,CPC-H

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