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Complete mastectomy following partial

  1. #1
    Question Complete mastectomy following partial
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    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
    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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