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Help w/ chest wall excision

  1. Default Help w/ chest wall excision
    Medical Coding Books
    Pt came with chest wall nodule, she is 20 yrs post mastectomy. The path revealed well def. adenocarcinoma, consistent with breast origin. What cpt and icd 9 codes do you recommend. ( 19260, with 174.4. ??? thx in advance

  2. Default
    19260 is excision of chest wall tumor including ribs- Must include at least one adjacent rib above or below the tumor site and all intervening intercostal muscles.

    Was that what your MD did?

    Or would one of the ones in the musculoskeletal section 21555/ 21552/ 21556/ 21554 be more appropriate?

    Hard to tell without a note.
    Rachell Lindley, CPC
    Multispecialty Clinic Coding
    Internal Medicine
    General Surgery
    Family Medicine

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