![]() ![]() The American College of Surgeons (ACS) receives many questions at the ACS General Surgery Coding Workshops. What code should be reported for the catheter and port, and does a modifier need to be appended since I am still in the 90-day global period for the mastectomy? I performed a mastectomy on a woman and one week later placed a central venous line with port for chemotherapy.A patient with bilateral breast implants develops breast cancer in the left breast and undergoes a modified radical mastectomy of the left breast with removal of the bilateral implants.What is the correct code to report for performing a partial mastectomy on a male patient who had both an unspecified mass and gynecomastia if the intraoperative pathology for the mass was negative?.What codes do I report if a radiotracer and blue dye were injected in the breast before a complete mastectomy and neither agent migrated from the injection site, so that I was unable to identify a sentinel lymph node?. ![]() Can the surgeon report 19301 twice using modifier 59, Distinct procedural services? The surgeon performed a partial mastectomy on one breast, but actually made two separate smaller incisions to remove two separate lesions (lumpectomy) from different non-contiguous areas of the breast.What codes are reported for a partial mastectomy (lumpectomy) with biopsy of sentinel axillary nodes using both blue dye and intraoperative ultrasound to identify the sentinel nodes?. ![]()
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