Expand


Go Back   AAPC Forum > Medical Coding > General Surgery
Forum Rules FAQ Members List Calendar Search Today's Posts Mark Forums Read

Reply
 
Thread Tools
  #1  
Old 08-14-2009, 10:28 AM
ttaylor ttaylor is offline
New
 
Join Date: Apr 2007
Posts: 2
ttaylor is on a distinguished road
Question lumpectomy

Hello,
My Dr. did a Left breast needle localization & lumpectomy.
Procedure in detail: The paitient, at the breast center, had mamographic-directed needle localization of the tumor.
The left breast was prepped with ChloraPrep and draped in a sterile fashion. An elliptical skin incision was made directly over the tumor. Electrocautery was then used to divide the subcutaneous fatty tissue and to disssect through the breast tissue. Dissection continued with the electrocautery until the mass, including the localization wires, were removed. There was an additional piece of breast tissue that was located on the medial margin of this specimen and this was removed and included with the specimen as well. The lumpectomy specimen was then marked with silk sutures.
Which code is correct? Code 19301-Lt. or code 19125-Rt?

Path Report: Lumpectomy, left breast with needle localization

Dx: Left breast lumpectomy: Central scar, negative for residual carcinoma.

Help
Reply With Quote
  #2  
Old 09-01-2009, 12:30 PM
JSYLVAIN JSYLVAIN is offline
Contributor
 
Join Date: Apr 2007
Posts: 17
JSYLVAIN is on a distinguished road
Default

Go with 19125. No indication of malignancy or recording clean healthy tissue margins which are needed for 19301
Reply With Quote
Reply

Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off




Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment of a physician for any given health issue. Please note that the opinions expressed here do not necessarily reflect those of AAPC.

All times are GMT -6. The time now is 07:13 AM.


Powered by vBulletin® Version 3.8.1
Copyright ©2000 - 2015, Jelsoft Enterprises Ltd.
Copyright ©2015, AAPC