CPT® includes three procedure codes for neck dissection: 38724 – Cervical lymphadenectomy (modified radical neck dissection) (also referred to as a “MRND”) 38700 – Suprahyoid lymphadenectomy.
2018/2019 ICD-10-CM Diagnosis Code I77.74. Dissection of vertebral artery. 2016 2017 2018 2019 Billable/Specific Code. I77.74 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
MODIFIED & RADICAL NECK DISSECTION Johan Fagan Neck dissection removes potential or proven metastases to cervical lymph nodes. It is a complex operation and requires a sound knowledge of the 3-dimensional anatomy of the neck.
If your surgeon performs a laryngectomy with a bilateral modified neck dissection or a glossectomy with a bilateral neck dissection, you can bill for the second side’s modified neck dissection with a 59 modifier (or XS for Medicare Part B) because it is located on the contralateral side from the laryngectomy or glossectomy.
Dizziness and GiddinessCode R42 is the diagnosis code used for Dizziness and Giddiness. It is a disorder characterized by a sensation as if the external world were revolving around the patient (objective vertigo) or as if he himself were revolving in space (subjective vertigo).
07B60ZXExcision of Left Axillary Lymphatic, Open Approach, Diagnostic. ICD-10-PCS 07B60ZX is a specific/billable code that can be used to indicate a procedure.
Encounter for breast reconstruction following mastectomy Z42. 1 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z42. 1 became effective on October 1, 2021.
Acquired absence of left breast and nipple The 2022 edition of ICD-10-CM Z90. 12 became effective on October 1, 2021. This is the American ICD-10-CM version of Z90.
2022 ICD-10-PCS Procedure Code 0FT44ZZ: Resection of Gallbladder, Percutaneous Endoscopic Approach.
2022 ICD-10-PCS Procedure Code 0HB1XZZ: Excision of Face Skin, External Approach.
The breast surgery Current Procedural Terminology (CPT) codes were developed when axillary dissection was standard therapy for breast cancer. Modified radical mastectomy is coded 19307; lumpectomy with axillary dissection is coded 19302.
A simple mastectomy (left) removes the breast tissue, nipple, areola and skin but not all the lymph nodes. A modified radical mastectomy (right) removes the entire breast — including the breast tissue, skin, areola and nipple — and most of the underarm (axillary) lymph nodes.
19303For example, if you are billing for a bilateral mastectomy, you would report CPT code 19303 (Mastectomy, simple, complete) with the modifier.
Z85. 3 can be billed as a primary diagnosis if that is the reason for the visit, but follow up after completed treatment for cancer should coded as Z08 as the primary diagnosis.
11 or Z51. 12 is the only diagnosis on the line, then the procedure or service will be denied because this diagnosis should be assigned as a secondary diagnosis. When the Primary, First-Listed, Principal or Only diagnosis code is a Sequela diagnosis code, then the claim line will be denied.
Oncologic resection with attention to margins (lumpectomy or partial mastectomy), code 19301, describes the procedure where margin status is indicated by any method and may include excision of additional surrounding tissue for margins.
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code ( I77.74) and the excluded code together.
The 2022 edition of ICD-10-CM I77.74 became effective on October 1, 2021.
Neck dissection removes potential or proven metastases to cervical lymph nodes. It is a complex operation and requires a sound knowledge of the 3-dimensional anatomy of the neck.
Because the marginal mandibular nerve runs in an extracapsular plane, the submandibular gland capsule is dissected from the gland in a superior direction in a subcapsular plane
RND includes resection of sternocleido- mastoid muscle (SCM) and accessory nerve (XIn) and internal jugular vein (IJV). MND preserves SCM and/or XIn and/or IJV. MND type I entails preservation of 1/3, usually XIn; MND type II entails preservation of 2/3, usually XIn and IJV; with MND type III all 3 structures are preserved. MND type II is most commonly done and is oncologically acceptable in the absence of adherence of cervical nodal metastases to XIn or IJV.
Level IIextends between the skull base and hyoid bone. The posterior border of the sternocleidomastoid defines its posterior border. The stylohyoid muscle (alternately the posterior edge of the submandibular gland) defines its anterior border. The accessory nerve (XIn) traverses Level II obliquely and subdivides it into Level IIa
The neck is conventionally divided into 6 levels; Level VIIis in the superior mediastinum(Figure 1).
Neck dissection may be elective(END) when done for clinically occult metastases,
RND involved the same surgical steps, other than that the IJV is double ligated superiorly and inferiorly with silk and with a silk transfixion suture passed through the vein, taking care not to include the vagus nerve (Xn) in the ligature.