CONSULTATION E/M MASTECTOMY AND AV ANASTAMOSIS PROCEDURES

Question 1

What are the breasts considered in women?

Answer 1

Secondary reproductive glands

Question 2

What is the anatomical marker that breast tissue extends to on the side of the chest wall?

Answer 2

Mid-axillary line

Question 3

What types of tissues comprise each breast?

Answer 3

• Fat
• Glandular tissues

Question 4

What is the function of fascia in the breast?

Answer 4

Gives shape to the breast and aids in maintaining the shape

Question 5

How many lobes does each breast have that house lobules for milk production?

Answer 5

About 15 to 20 lobes

Question 6

What is the network of tubes called that milk travels through to reach the nipple?

Answer 6

Ducts

Question 7

What is the circular area around the nipple called?

Answer 7

Areola

Question 8

True or False: The areola has aesthetic value and contains many nerve endings.

Answer 8

True

Question 9

What is the significance of lymph nodes in breast cancer?

Answer 9

Used to stage breast cancer

Question 10

What is the first lymph node in the chain where cancer is likely to spread called?

Answer 10

Sentinel lymph node

Question 11

What does a biopsy of the sentinel lymph node confirm?

Answer 11

The spread of primary cancer

Question 12

What are the classifications of diagnostic coding for breast malignancies?

Answer 12

• Ductal carcinoma in situ
• Invasive ductal carcinoma

Question 13

What are the medical needs for mastectomy?

Answer 13

• Risk reduction
• Recurrence of tumor
• Malignant phylodes tumor

Question 14

What codes are included for mastectomy procedures?

Answer 14

• 1-9-3-0-0
• 1-9-3-0-1
• 1-9-3-0-2
• 1-9-3-0-3

Question 15

What is a radical mastectomy primarily used for?

Answer 15

Breast cancers that are extensive in nature and have invasions into the chest wall

Question 16

What are the codes associated with radical mastectomy procedures?

Answer 16

• 19305
• 19306
• 19307

Question 17

What is mammoplasty?

Answer 17

Cosmetic reshaping of breasts

Question 18

True or False: Medical insurance reimburses for all mammoplasty procedures.

Answer 18

False

Question 19

What techniques are involved in the reconstruction of breasts post-mastectomy?

Answer 19

• Flaps
• Tissue expanders
• Trim

Question 20

What was identified as the reason for a lumpectomy in the operative note?

Answer 20

Breast mass

Question 21

What type of mass was identified in the operative note?

Answer 21

Fibroadenoma

Question 22

What is the ICD-10-CM code for a breast mass?

Answer 22

n63.0

Question 23

Fill in the blank: The mass was sent to pathology, but there was no _______ to the documentation of the pathologist’s analysis.

Answer 23

Addendum

Question 24

What should the provider do with the findings from the pathologist’s report?

Answer 24

Carry them back to the progress note

Question 25

What does the ICD-10-CM Index to Disease and Injuries suggest to see for breast mass?

Answer 25

See lump breast