Mohs micrographic surgery CPT CODING-2017
Mohs micrographic surgery is a technique for completely removing skin cancer lesions. It involves the surgeon also acting as the pathologist to examine tissue sections under the microscope between surgical stages. The procedure involves removing tissue in blocks that are each examined microscopically until the edges are clear of cancer cells. Additional blocks are coded separately and any biopsies or repairs performed on the same day are also separately coded. Breast procedures include incision and drainage of cysts, excision of tumors or biopsies, placement of localization devices, partial or total mastectomy, and stereotactic biopsy using imaging to target microcalcifications. Reconstruction techniques aim to repair the breast and can involve augmentation or mastopexy.
Mohs micrographic surgery CPT CODING-2017
- 2. This tecnique is different from excision Main aim of this technique is 100% result (or)complete removal of lesion Here dual role is performed by the physician a) Surgeon b) Pathologist
- 4. PROCEDURE various stages are involved in this process for complete removal of lesions Removed tissue is divided as blocks/pieces Each block examined for evalution Every stage contain minimum 5 blocks(default) For addition of each extra block code may vary
- 5. Any repair is performed code separately Any biopsy is performed on same day along with mohs surgery code separately with modifier 59. (17315)code for each additional block in addition to code for primary procedure.
- 6. MEDICAL TERMINOLOGY CRYOTHERAPY:-also called as cold therapy it is a procedure used to destroy the benign or malignant lesions using low temperature(co2slush, liquid N2).
- 7. It is a modified sweat gland breasts are made of specialized tissue that produces milk (glandular tissue) as well as fatty tissue. The amount of fat determines the size of the breast. Breast cancer is most common in females
- 8. MASTOTOMY: incision of the breast FISTULA: abnormal connection between to hallow spaces GYNACOMASTIA: enlargement of male breast due to endocrine disorders GALACTOGRAPHY or DUCTOGRAPHY (or galact ogram, ductogram) is a medical diagnostic procedure for viewing the milk ducts.
- 9. BREAST SURGERY PROCEDURES INCISION Making a small cut and allow to drain the cyst of breast. Range of code(19000-19030).
- 10. EXCISION:- removal of cysts benign and malignant tumers breast biopsies without image guidance are reported with 19100-19101. Image guided breast biopsies with placement of localization devices are reported with 19081-19086.
- 11. Placement of localization devices without image- guided biopsy are reported with 19281-19288. Partial mastectomy procedures are reported using codes 19301 or 19302. Total mastectomy procedures are reported using codes 19303-19307 as appropriate.
- 12. STEREOTACTIC BIOPSY it is also known as stereotactic core biopsy this procedure uses a computer and imaging performed in at least two planes to localize a target lesion. This technique is very useful in identifying micro calcifications
- 13. REPAIR/RECONSTRUCTION In this procedure breast is repaired to function as normal. AUGUMENTATION: increasing size of the breast using some localization devices MASTOPEXY: surgical fixation(or) re-positioning of breast RANGE OF CODE:19316-19396 https://www.medesunglobal.com
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