- Axillary Lymphadenectomy is Total : You Be the Coder - AAPC
That code describes a partial mastectomy with a total axillary lymphadenectomy, which would include both superficial and deep lymph nodes at levels I, II, and III
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The procedure statement documents "partial mastectomy with right axillary lymphadenectomy," which provides guidance for code assignment Add modifier -RT (Right side) to the code because the breast is a paired body part
- Partial Mastectomy or Lumpectomy with Axillary Lymphadenectomy
CPT code 19301 is reported for a partial mastectomy or lumpectomy when the tumor is removed and specific attention is paid to the surgical margins The lymph node excision code is determined by the type of procedure performed
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When performed independently of one another (for instance, when performed at different sessions or different breasts), you may report a partial mastectomy and axillary lymphadenectomy separately, using 19301 and 38745 Axillary lymphadenectomy; complete (APC 0114, status indicator T), respectively
- How To Use CPT Code 19302 - Coding Ahead LLC
CPT code 19302 represents a surgical procedure known as a partial mastectomy, which may also be referred to as a lumpectomy, tylectomy, quadrantectomy, or segmentectomy, combined with an axillary lymphadenectomy
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When this occurs, you should not report the mastectomy and lymphadenectomy (38745, Axillary lymphadenectomy; complete) separately Instead, you should use a single, combined code to report the work of both procedures
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CPT Assistant (vol 18, issue 9, Sept 2008) clarifies that when a surgeon performs partial mastectomy with complete axillary dissection, you should report 19302 Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy); with axillary lymphadenectomy
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Answer: No, a lumpectomy with a deep axillary lymphadenectomy is reported with a single code, 19302, Mastectomy, partial (e g , lumpectomy, tylectomy, quadranectomy, segmentectomy); with axillary lymphadenectomy This code is valued for the lumpectomy and the axillary lymphadenectomy
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