Results 1 to 4 of 4

Help with Breast Removal

  1. Question Help with Breast Removal
    Medical Coding Books
    Hello all,
    Need some advice -- Patient had R Breast removed a year ago for breast cancer. She is very uncomfortable ( feels off balance, shoulder and back pain) on the left side now and wonders if Medicare will pay for her to have it removed. Thanks in advance for your help.

  2. #2
    Location
    Tacoma, WA
    Posts
    1,087
    Default
    Quote Originally Posted by TERESA TAYLOR View Post
    Hello all,
    Need some advice -- Patient had R Breast removed a year ago for breast cancer. She is very uncomfortable ( feels off balance, shoulder and back pain) on the left side now and wonders if Medicare will pay for her to have it removed. Thanks in advance for your help.
    I would contact your Medicare carrier and find out the answer to that question. It may come down to the medical necessity of removing the other breast.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

  3. #3
    Location
    Milwaukee WI
    Posts
    4,466
    Default Or ....
    Is reconstruction of the removed breast NOT covered by Medicare? I was under the impression that this is a covered procedure when the removal was for cancer diagnosis.

    Not sure of this, as it is out of my area of expertise, but I know at least one woman covered by Medicare that had reconstructive surgery.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  4. #4
    Location
    Tacoma, WA
    Posts
    1,087
    Default
    Quote Originally Posted by FTessaBartels View Post
    Is reconstruction of the removed breast NOT covered by Medicare? I was under the impression that this is a covered procedure when the removal was for cancer diagnosis.

    Not sure of this, as it is out of my area of expertise, but I know at least one woman covered by Medicare that had reconstructive surgery.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC
    I believe reconstruction of a removed breast is covered, but this question was about a patient having the other non-cancerous breast removed because she is uncomfortable. It may be that she did not want to have reconstruction done when the other side was removed, or it may not have been possible. Certainly we need more information regarding the issue, but probably best served by contacting her Medicare carrier for advice!
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

Similar Threads

  1. Breast Implant Removal during Mastectomy
    By AimeeNK31 in forum General Surgery
    Replies: 0
    Last Post: 05-29-2014, 10:36 AM
  2. port removal from breast
    By wcox in forum Plastic Surgery
    Replies: 0
    Last Post: 11-19-2012, 09:45 AM
  3. Removal of breast implant?
    By BFAITHFUL in forum Plastic Surgery
    Replies: 0
    Last Post: 04-10-2012, 12:17 PM
  4. Breast mass removal code
    By kumeena in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 12-16-2011, 12:26 PM
  5. Breast removal/replace implant
    By Arlene in forum Plastic Surgery
    Replies: 2
    Last Post: 05-14-2009, 08:55 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.