Axillary biopsy | Medical Billing and Coding Forum - AAPC 38525: Used for the biopsy of open, deep axillary lymph nodes; 38792: Used for the injection procedure if performed; Other codes that may be used for axillary biopsies include: 38900: Used to report the work associated with intraoperative identification of the sentinel node; 19162, 19200, 19220, 19240: Used for combined breast and axillary
AXILLARY MASS, excision | Medical Billing and Coding Forum - AAPC Axillary mass, excision sep5078, Have you had any reply to your question submitted tot he AHA Coding Clinic? We also have a scenario related to this matter After final pathology, the below example ended up being fibroadenoma We have considered code 21552 (Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater)
Wiki Deep axillary lymph nodes, superficial or deep? - AAPC Level I nodes can be deep or superficial depending on depth, patient habitus, and extent of required dissection " " dissections are divided into three levels, Lymph nodes adjacent to the axillary tail of the breast may be considered superficial and those lymph nodes into the axilla would be considered deep" "
Wiki Axillary Lymph Node Dissection Levels 1-3 - AAPC Good afternoon, My provider performed an axillary lymph node dissection of levels 1-3 NOT in conjunction with mastectomy Does code 38745 include the level 3 nodes? Coding Companion lists only levels 1 2 NCCI edits allow the use of 38525-59 for the level 3 nodes but with it being all on one
Wiki - Axillary Mass | Medical Billing and Coding Forum - AAPC Depending on the part of the axilla, my unsubstantiated opinion is that it could be breast (tail of spence), thorax (a little higher up but still thorax - if you palpate your own axilla, you can feel how you are touching your chest area), or really high up in the axilla, part of the arm
ICD-10-CM Code for Localized enlarged lymph nodes R59. 0 - AAPC ICD-10-CM Code for Localized enlarged lymph nodes R59 0 ICD-10 code R59 0 for Localized enlarged lymph nodes is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
AMA Provides Clarity on Breast Excision Lymph Node Coding The AMA stresses that 19302 includes removal of “all identifiable axillary lymph nodes,” while retaining the pectoralis musculature If the surgeon resects the pectoralis musculature in addition to axillary lymphadenectomy, you should forego 19302 in favor of an appropriate radical mastectomy code, 19305-19307
axilla ultrasound | Medical Billing and Coding Forum - AAPC Axillary views taken during an ultrasound study of the breast are not reported separately, as they would be considered included in the breast ultrasound study Code 76645 (Ultrasound, breast [unilateral or bilateral], B-scan and or real time with image documentation) is used when evaluating one or both breasts for cysts or solid masses
Wiki - 19325 vs 19301 | Medical Billing and Coding Forum - AAPC Assign CPT code 19301, Mastectomy, partial (e g , lumpectomy, tylectomy, quadrantectomy, segmentectomy) for a partial mastectomy procedure Code 19302 should be assigned if the procedure includes excision of axillary lymph nodes (between the pectoralis major and pectoralis minor muscles and the nodes in the axilla) via a separate incision
Solutions for Common Coding Dilemmas : General Surgery | Breast . . . - AAPC Instead 38745 (axillary lymphadenectomy; complete) should be billed in addition to 19120 Furthermore if the surgeon returns during the postoperative period of the partial mastectomy or lumpectomy to examine the patient for lymph node involvement and subsequently removes the nodes 38745 should be billed with modifier -58 appended