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Thread: Complete mastectomy following partial

  1. #1
    Join Date
    Apr 2007

    Question Complete mastectomy following partial

    AAPC: Back to School
    The patient had 2 partial mastectomies, after each partial the margins were not clear and ultimately the decision was made to do the total mastectomy.

    Can you bill a complete simple complete mastectomy after the patient has had 2 partial mastectomies on the same breast? Or would you bill another partial?

    Any advice? Thoughts?

    Anna Barber, CPC CEMC
    AH/SM Medical Group
    Medical Practice Auditor

  2. #2
    Join Date
    Apr 2007


    you can bill the total mastectomy 19303 if procedure was done same day, chances are that partial are not paid by insurance, if done afterwards bill same with mod 58.

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