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insertion temporary balloon catheter, breast

  1. #1
    Location
    virginia beach, va
    Posts
    16
    Default insertion temporary balloon catheter, breast
    Medical Coding Books
    My surgeon installs a temporary balloon catheter in the breast at time of lumpectomy and sometimes after a reexcision for margins.

    Later she installs the Mammosite catheter a day or two later.

    All codes take me back to 19296 and 19697 which would be inappropriate for the temporary balloon catheter at the time of partial mastectomy.

    I am unable to locate the correct code for the temporary balloon catheter insertion.

  2. Default
    Quote Originally Posted by vng3853 View Post
    My surgeon installs a temporary balloon catheter in the breast at time of lumpectomy and sometimes after a reexcision for margins.

    Later she installs the Mammosite catheter a day or two later.

    All codes take me back to 19296 and 19697 which would be inappropriate for the temporary balloon catheter at the time of partial mastectomy.

    I am unable to locate the correct code for the temporary balloon catheter insertion.
    Reply-
    The placement of a cavity evaluation device, best described by procedure code 19499, used as a placeholder for the Mammosite catheter, is considered to be part of global surgical service rendered and not eligible for separate reimbursement.

  3. #3
    Location
    Jacksonville, Florida - 90417
    Posts
    187
    Default
    Hi,

    What is the purpose of the temporary balloon catheter?

    -Maryann

  4. #4
    Location
    virginia beach, va
    Posts
    16
    Default
    the purpose of the temporary catheter is to hold the place where the Mammosite catheter will be inserted at a later date.
    Thanks,

    Gena Alexander-Fortune, CPC, CGSC

  5. #5
    Location
    St. Louis, Missouri
    Posts
    262
    Default
    My physician does the mammosite also. I asked the same question when we first started doing them. I was told by the mammosite rep that the temporary balloon catheter is not billable. You just bill for the procedure (lumpectomy).

    Melissa Blow, CPC

  6. Default
    is this still valid for 2008 that you shouldn't charge for the temporay placement? jkonda@eidebailly.com

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