Results 1 to 2 of 2

Partial mastectomy???

  1. #1
    Location
    Northeast Kansas AAPC
    Posts
    275
    Question Partial mastectomy???
    Medical Coding Books
    Medicaid patient presents with a 10 cm mass in her right breast. Initially was seen while patient was pregnant. Biopsy showed a lactating adenoma (benign). DUe to the large size of the mass she would like it removed. My question is does this meet partial mastectomy (19301) requirements or would we just bill it out as excision of a cyst or benign (19120) tumor? They are getting plastics involved since it will leave a huge deformity on that breast. Any ideas?????

  2. #2
    Default
    The only way you can report 19301 is if attention to margin were taken and documented. Resection of benign lesions are not usually excised with attention to margins.

    You can also add a mod 22 on 19120 for the extra difficulty the size of mass presented to.

    MS

Similar Threads

  1. Partial Mastectomy Question
    By mmelcam in forum General Surgery
    Replies: 4
    Last Post: 11-16-2011, 11:55 AM
  2. Complete mastectomy following partial
    By AMBarber in forum General Surgery
    Replies: 1
    Last Post: 07-14-2011, 02:29 PM
  3. Partial mastectomy question
    By jhericks in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 09-30-2010, 02:50 PM
  4. Partial mastectomy / Fluoro
    By MCook in forum General Surgery
    Replies: 1
    Last Post: 02-02-2010, 10:19 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.