Coding and Billing for Breast Procedures

Event Information
Product Format
Prerecorded Event
Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, CDIP, COBGC, AHIMA approved ICD-10-CM/PCS trainer
60 minutes
Product Description

Coding Terminology, and CPT®, ICD-10 and AIUM Documentation Tips for Breast Procedures

Coding and billing for breast surgical procedures can be challenging, especially clinical terminology in regard to surgical and office based breast care. Better documentation goes hand in hand with correct, accurate coding of surgical procedures, clean claims and quicker reimbursement from third party payers. Coders, billers, office managers as well as clinical staff such as RNs and MAs must learn strategies and coding concepts for correct billing for breast procedures in a physician-based practice.

Join this session, where expert speaker Lori-Lynne A. Webb will cover breast coding terminology, common terms and diagnostic conditions associated with breast procedures. Lori-Lynne will look at “incisional” and “excisional” breast coding, in addition to biopsy, mammography, and reconstructive breast surgery. The session will go through a step-by-step process on how to confidently code breast procedures. She will primary be coding as a physician based (CPT®) surgical code set; however, she will also briefly correlate ICD-10-PCS from the hospital side to the CPT® procedures utilized on the physician (pro-fee) side of things.

In this session, clinical and office staff will learn to implement the best practices and helpful hints that will improve their practice’s financial bottom line. Lori-Lynne will provide current know-how, and the important CPT®, ICD-10 and AIUM documentation tips for medical necessity documentation and a good practice process utilizing written and verbal communication skills in regard to breast care and breast surgical procedures. The session will also discuss the strategies to help implement the correct clinical documentation processes used for good patient care and medical record clinical documentation.

Session Highlights

  • Breast terminology and acronyms associated with it
  • How to perform a 5 step process to accurately code surgical breast procedures in CPT® and PCS breast procedures
  • Mammography and CPT® code changes in relation to breast care
  • What is necessary for reconstructive breast surgery – Including axillary node dissections
  • A review of breast biopsy
  • Pathology Note and how it relates to your coding of breast procedures
  • Pertinent ICD-10-CM diagnoses and HCPCS codes that affect the coding processes for breast care and surgery
  • Important clinical documentation improvement and surgical case studies

Session Agenda

  • Breast coding medical terminology: the basics of incision, excision and introduction
  • Common terms and conditions associated with breast procedures
  • Fine needle aspiration: without and with imaging guidance
  • Incision breast codes covering cyst of breast, drainage of abscess deep and injection procedure for ductogram
  • Excision breast codes covering biopsy of breast, imaging of specimen, ultrasound guidance, magnetic resonance guidance, and more
  • Exploratory breast codes covering nipple exploration, excision of lactiferous duct fistula, breast lesion excision, and more
  • Codes for localization device placement performed without a biopsy at the same session, magnetic resonance guidance, ultrasound guidance, stereotactic guidance, and more
  • The 5-step operative surgical coding process

Who Should Attend

  • Coders
  • Billers
  • Office managers
  • Clinical staff (such as RNs and MAs)
  • All those who are uncertain on how to bill for breast procedures in a physician based practice

Ask a question at the Q&A session following the live event and get advice unique to your situation, directly from our expert speaker.

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About Our Speaker

Lori Lynne - ICD 10 Training Expert

Lori-Lynne A. Webb - CPC, CCS-P, CCP, CHDA, CDIP, COBGC, AHIMA approved ICD-10-CM/PCS trainer, is an independent coding, compliance, and auditing specialist. She has 20+ years of multi-specialty coding experience and teaches coding, compliance, auditing and billing skills for clinical and clerical staff, utilizing AMA and AHIMA curriculum. She specializes in women’s ob-gyn services, maternal fetal ultrasound services, urology and general surgical procedures, to include physician based and...   More Info
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