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Outpatient Surgery E-Weekly

Contact Congress Over Drug Shortage Issues

A Kentucky congressman is urging surgical facilities to contact their members of Congress and request that they sign his letter demanding changes to...

N.J. Posts ASC Inspection Reports Online

State and federal inspection reports of New Jersey's ASCs are now available online, giving patients an opportunity to make more informed choices abo...

Are Opioids Necessary?

While it's not always practical, or even possible, to eliminate opioids from your post-op pain management regiment, reducing their use in favor of n...

Archive > October, 2009 Vol. X, No. 10

Coding & Billing

Tips for Better Breast Excision Coding

Brad Ericson, CPC, COSC

Code selection for breast excision procedures presents many challenges, not the least of which is distinguishing between a lesion excision as described by 19120 Excision of cyst, fibro-adenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19300), open, male or female, one or more lesions (APC 0028, status indicator T) and a partial mastectomy, identified with 19301 Mastectomy, partial (for example, lumpectomy, tylectomy, quadrantectomy, segmentectomy) (APC 0028, status indicator T).

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Axillary; Biopsy; CMS; CPT; Code; Coding Initiative; Complete; Correct Coding Initiative; Excision; Initiative; National Correct Coding Initiative; Pathology; T). Neither CPT; aberrant; accompany; addition; and/or; append; applied; areolar; axilla; axillary; based; benign; best-case; billing; biopsies; biopsy; breast; cautious; choose; cite; claiming; clinical; code; complete; days; decision; deep; define; describe; descriptor; dissection; distinguishing; documented; duct; eliminate; evidence; excised; excision; excisions; extent; facility; fee; findings; guidelines; healthy; identified; incis... show all keywords
Axillary; Biopsy; CMS; CPT; Code; Coding Initiative; Complete; Correct Coding Initiative; Excision; Initiative; National Correct Coding Initiative; Pathology; T). Neither CPT; aberrant; accompany; addition; and/or; append; applied; areolar; axilla; axillary; based; benign; best-case; billing; biopsies; biopsy; breast; cautious; choose; cite; claiming; clinical; code; complete; days; decision; deep; define; describe; descriptor; dissection; distinguishing; documented; duct; eliminate; evidence; excised; excision; excisions; extent; facility; fee; findings; guidelines; healthy; identified; incision; include; inclusive; independently; indicator; instructions; intent; led; lesion; lesions; localized; lymph; lymphadenectomy; major; male; malignancy; malignant; margin; margins; mass; mastectomy; minimal; minimum; modifier; muscle; national; nipple; node; nodes; note; occur; operating; operative; part; partial; pathology; patient; payor; pectoralis; perform; performed; performing; performs; physician; planned; post-operative; precisely; presents; prior; procedure; provide; qualify; re-excision; region; related; remaining; remove; removes; report; reported; result; return; review; rules; same-location; select; selection; sentinel; separate; separately; sessions; similar; staged; status; subjectively; subsequent; sufficient; suite; superficial; support; surgeon; surgical; surrounding; suspected; target; tissue; unplanned; volume; width

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