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A 35-year-old female has cancer in her left breast. The surgeon performs a mastectomy, removing the breast tissue, skin, pectoral muscles, and surrounding tissue, including the axillary and internal mammary lymph nodes.
Which mastectomy code is reported?
Suggested Answer: C
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The procedure performed is a bilateral screening mammogram with computer-aided detection (CAD). CPT code 77067 is for bilateral screening mammography with CAD. ICD-10-CM code Z12.31 is for an encounter for screening mammogram for malignant neoplasm of the breast. Z80.3 is for a family history of malignant neoplasm of the breast. Therefore, the correct coding is 77067, Z12.31, Z80.3. Reference: CPT Professional Edition (current year), ICD-10-CM (current year).
40 comments · newest first
TU
Tuyet
10 months ago
19303 is the one if all those tissues are involved!
GE
Georgene
11 months ago
19307 seems too extreme for just a mastectomy, right?
WA
Wai
11 months ago
Wait, are we sure about the lymph nodes being included?
HE
Herminia
11 months ago
I thought it was 19305? Seems like a close call.
JA
Jacquline
11 months ago
Definitely 19306 for that level of mastectomy.
DE
Devorah
12 months ago
I believe 19307 is for a modified radical mastectomy, so it can't be that one. I feel like I need to double-check the definitions again.
CA
Caitlin
12 months ago
I’m a bit confused about the specifics of the codes. I thought 19306 was for more extensive procedures, but I can't recall the details.
QU
Quentin
12 months ago
I remember practicing a question similar to this, and I think 19305 might be the right choice since it mentions the removal of surrounding tissue.
TE
Teddy
1 year ago
I think the code for a total mastectomy is 19303, but I'm not entirely sure if it includes the lymph nodes.
SU
Susana
1 year ago
I feel pretty confident about this one. The details provided match the description for a modified radical mastectomy, so I'll select code 19307 as the most appropriate option.
VA
Valene
1 year ago
I'm a little confused by the options here. The question seems to describe a modified radical mastectomy, but I'm not sure if that's the same as a radical mastectomy. I'll need to double-check the code definitions to make the right choice.
AS
Asha
1 year ago
Okay, I've got this. Based on the extensive removal of tissue and lymph nodes, I believe the correct code is 19306 - Radical mastectomy, including breast tissue, skin, and associated lymph nodes.
SH
Shelba
1 year ago
Hmm, I'm a bit unsure about this one. The question mentions the surgeon removing the breast tissue, skin, pectoral muscles, and lymph nodes, so I'll need to carefully consider which mastectomy code best fits that description.
MI
Mila
1 year ago
This seems like a straightforward question about mastectomy coding. I'll review the details of the procedure and match it to the appropriate CPT code.
LI
Ligia
1 year ago
Ah, the good old 19307 - the surgical equivalent of a mic drop. Nailed it!
RA
Raina
1 year ago
Great job! 19307 it is.
DO
Donette
1 year ago
Absolutely, 19307 is the correct code for that extensive mastectomy.
BU
Buffy
1 year ago
D) 19307 - the surgical equivalent of a mic drop!
GR
Gretchen
1 year ago
D) 19307
DI
Diego
1 year ago
C: I agree, 19307 is definitely the code for that comprehensive mastectomy.
GI
Giuseppe
1 year ago
C) 19306
LA
Lashunda
1 year ago
B: Absolutely, 19307 covers all the bases for that procedure.
SH
Sherron
1 year ago
B) 19305
JU
Judy
1 year ago
A) 19303
LA
Lachelle
1 year ago
A: Yep, 19307 is the way to go for that extensive mastectomy.
LU
Luis
1 year ago
19307 for sure! Gotta love those comprehensive mastectomies. Really gets the job done, you know?
AN
An
1 year ago
Hmm, this is a tricky one. I was thinking 19306, but 19307 makes more sense given the extensive removal of tissue and lymph nodes.
JU
Junita
1 year ago
I agree, 19307 seems like the appropriate code since the surgeon removed the entire breast, pectoral muscles, and lymph nodes.
CH
Chanel
1 year ago
So, 19307 is the right choice for this procedure.
MA
Maybelle
1 year ago
That makes sense. The surgeon removed all the necessary tissues in this case.
IZ
Izetta
1 year ago
Yes, I agree. 19307 is the code for a total mastectomy.
ST
Stephania
1 year ago
I think the correct code is 19307 because it involves removal of the entire breast, pectoral muscles, and lymph nodes.
JO
Joye
1 year ago
I see your point, but I still think 19307 is the most appropriate code based on the description provided.
NA
Nada
1 year ago
I disagree, I believe it should be 19306.
JU
Justine
2 years ago
Based on the details provided, the correct code would be 19307 - Total mastectomy with lymph node dissection.
RI
Ricki
1 year ago
Okay, thanks for clarifying. I'll go with 19307 then.
ME
Melvin
1 year ago
No, I'm pretty confident it's 19307 because it includes lymph node dissection.
BL
Blair
1 year ago
Are you sure? I thought it might be 19306.
EL
Elinore
1 year ago
I think the correct code is 19307.
JO
Joye
2 years ago
I think the correct code is 19307.