Results 1 to 5 of 5

Needle localization of breast

  1. #1
    Location
    NEW ORLEANS
    Posts
    956
    Default Needle localization of breast
    Medical Coding Books
    Patient had a neelle localization breast biopsy greater than 5 cm. DOc office wants to code 19301 .I says its 19125 . Now it did say an incision was n the areolar area was made and included the entire wire with surrounding tissue. thiswas ariound 5 to 7 cm of tissue that was removed -, so would tha . thanltqualified that to be a 19301, i dont think so but may be wrong- thanks for any input- trent

  2. Default breast
    I agree with you that its a 19125 because the mass/tumor was removed with the wire marker - if it was a mastectomy/lumpectomy with no wire then the 19301 would be coded.

  3. #3
    Location
    NEW ORLEANS
    Posts
    956
    Default
    thanks

  4. #4
    Default
    You could provide Coder's desk reference descriptions to the office trying to bill for a partial masctectomy instead of a breast biopsy.


    19125
    The physician uses radiologic markers to identify breast tissue to be excised for biopsy. The physician makes an incision in the skin of the breast over the site of the lesion marked for excision by preoperative placement of a radiological marker. The lesion and marker are excised, without attention to obtaining clean margins. Bleeding vessels are controlled with electrocautery or ligated with sutures. A drain may be inserted into the wound. The incision is sutured in layered closure and a light dressing is applied. Report 19126 for each additional lesion identified by a pre-operative marker and removed during the same surgical session.


    19301
    The physician excises a breast tumor and a margin of normal tissue by performing a partial mastectomy by making an incision through the skin and fascia over a breast malignancy and clamping any lymphatic and blood vessels. The physician excises the mass along with a margin or rim of healthy tissue. This procedure is often referred to as a segmental mastectomy or a quadrantectomy, but is also called a lumpectomy. In 19302, an axillary lymphadenectomy is also performed. The lymph nodes between the pectoralis major and the pectoralis minor muscles and the nodes in the axilla are removed through a separate incision. A drainage tube may be placed through a separate stab incision to enhance drainage from the wound or lymphatic system. The incision is repaired with layered closure and a dressing is applied.
    The Oracle

  5. #5
    Location
    NEW ORLEANS
    Posts
    956
    Default
    will do, thanks, desk reference helps , will get ome myself, eaiser to explain to someone, I knew the code so using the desk ref sure hepls to explain why -thanks

Similar Threads

  1. needle localization wire - non breast
    By JDRCPC in forum Interventional Radiology
    Replies: 7
    Last Post: 02-01-2016, 06:11 AM
  2. breast US guided needle localization
    By cknighton@fchn.org in forum General Surgery
    Replies: 0
    Last Post: 02-13-2014, 05:54 AM
  3. Needle Localization breast biopsy x4-HELP
    By prpl282 in forum General Surgery
    Replies: 0
    Last Post: 10-29-2013, 06:43 AM
  4. needle localization breast biopsy
    By Miagirl78 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 01-03-2011, 10:16 AM
  5. Rt Breast Bx with needle localization
    By Trendale in forum General Surgery
    Replies: 3
    Last Post: 07-10-2008, 08:08 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.