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Ymorist [56]
3 years ago
14

Operative report patient had a wire localization performed by radiology and was taken to the operating room. Under local anesthe

sia of the left breast was prepped and draped in a sterile manner. A breast line incision was made through the entry point of wire and a core if tissue surrounding the wire approximately 1x2 cm was removed using electrocautery for hemostasis. The specimen including the wire was then submitted to radiology and presence if lesion within the specimen was confirmed. The wound was checked for hemostasis and this was maintained with
Health
1 answer:
yaroslaw [1]3 years ago
7 0

Given question is incomplete, however the complete question is as follows:

The patient had a wire localization performed by radiology and was taken to the operating room. Under local anesthesia of the left breast, was prepped and draped in a sterile manner. A breast line incision was made through the entry point of the wire, and a core of tissue surrounding the wire (approximately 1 × 2 cm) was removed using electrocautery for hemostasis. The specimen, including the wire, was then submitted to radiology, and the presence of the lesion within the specimen was confirmed. The wound was checked for hemostasis, and this was maintained with electrocautery. The breast tissue was reapproximated using 2-0 and 3-0 chromic. The skin was closed using 4-0 Vicryl in a subcuticular manner. Steri-Strips were applied. The patient tolerated the procedure well and was discharged from the operating room in stable condition. At the end of the procedure, all sponges and instruments were accounted for. Pathology report later indicated: Benign tissue, breast.

CPT code: _______________-LT

ICD10-CM code: _______________

Answer:

The correct answer would be :

The ICD10-CM code for this case is - D24.2

The CPT code for this case is- 19125 LT

Explanation:

CPT code for surgical excision procedures on breast is fall under the code in between 19081-19272. Particularly, 19125 is the code for left breast excision and 19126 for right one.

The ICD-10 CM codes are specific codes that are given on the base of the diagnosis.  Since the lesion is benign lesion of left breast of female, the ICD-10 CM code will be D24.2.

Thus, the correct answer would be :

The ICD10-CM code for this case is - D24.2

The CPT code for this case is- 19125 LT

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