Complete ICD-10-CM coding and documentation guide for Lumpectomy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Complete code families applicable to Lumpectomy
Malignant neoplasm of breast
This range includes codes for breast cancer, which is the primary condition treated with lumpectomy.
Essential facts and insights about Lumpectomy
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Sentinel node biopsy
38525Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Benign neoplasm of breast
D24.1Avoid these common documentation and coding issues when documenting Lumpectomy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code C50.911.
Clinical: Inadequate treatment documentation, Regulatory: Non-compliance with surgical standards, Financial: Potential claim denials
Use standardized templates, Verify margin details before submission
Reimbursement: Incorrect billing leading to denials, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate clinical data reporting
Use code 19120 for benign lesions without oncologic intent.
Failure to document margin status can trigger audits.
Implement mandatory margin documentation protocols.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Common questions about ICD-10 coding for Lumpectomy, with expert answers to help guide accurate code selection and documentation.
Use these documentation templates to ensure complete and accurate documentation for Lumpectomy. These templates include all required elements for proper coding and billing.
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