What is bilateral subcutaneous mastectomy?
Subcutaneous mastectomy is the surgical procedure of removing all of the breast tissue through an incision. It allows the surgeon to spare the skin, areola, and nipple, leaving them intact. It is indicated for women suffering from different breast-related diseases including cancer.
Is a skin sparing mastectomy the same as a subcutaneous mastectomy?
A skin-sparing mastectomy (SSM) removes the breast, nipple, and areolar complex and a subcutaneous or nipple-sparing mastectomy will preserve the nipple and areolar complex.
What is the code for subcutaneous mastectomy?
Table 2ICD-9-CM and CPT procedure codes defining mastectomies
| Code | Description |
|---|---|
| ICD-9-CM procedure codes | |
| 19304 | Mastectomy, subcutaneous |
| 19305 | Mastectomy, radical |
| 19306 | Mastectomy, radical, urban type |
Who is a candidate for skin sparing mastectomy?
Skin sparing is possible as part of simple mastectomies, as well as those that involve the removal of lymph nodes under the arm if cancer has spread to these areas. Most people with breast cancer are potential candidates for a skin sparing mastectomy.
What is the difference between a bilateral mastectomy and a double mastectomy?
A double mastectomy—also known as a bilateral mastectomy—is exactly what it sounds like: a surgery in which both breasts are removed at the same time. It’s major surgery that removes both breasts to remove cancer, or to reduce the risk of breast cancer in a woman who may be at high risk for the disease.
How many types of mastectomies are there?
There are five different types of mastectomy: “simple” or “total” mastectomy, modified radical mastectomy, radical mastectomy, partial mastectomy, and subcutaneous (nipple-sparing) mastectomy.
What is procedure code 19303?
The correct code to report skin-sparing mastectomy is 19303, Mastectomy, simple, complete (total mastectomy).
Is skin-sparing mastectomy safe?
A skin-sparing mastectomy is not safe if there is a possibility that tumor cells are close to the skin. If there’s any question that the tumor may involve the skin, such as in inflammatory breast cancer, then skin-sparing mastectomy is not an option.
How long does a skin-sparing mastectomy take?
During mastectomy surgery Mastectomy with axillary dissection can take 2-3 hours. If reconstruction is performed at the same time, surgery will take longer. Most mastectomy incisions are in the shape of an oval around the nipple, running across the width of the breast.
What is a subcutaneous mastectomy?
Subcutaneous mastectomy involves the removal of the entire breast with the exception of the nipple and areola.
What is a simple mastectomy?
Simple mastectomy involves removal of the entire breast, including the nipple and areola, while leaving the axillary or central lymph nodes (those in the armpit and under the arm) intact.
Is there a difference between a partial mastectomy and radical mastectomy?
Although common in the past, radical mastectomy is now rarely performed because in most cases, modified radical mastectomy has proven to be just as effective and less disfiguring. Partial mastectomy is the removal of the cancerous part of the breast tissue and some normal tissue around it.
What are the treatment options for gynecomastia?
The primary treatment of gynecomastia is surgical, consisting of a subcutaneous mastectomy. Simple mastectomy is not indicated. Patients must be aware that they may be trading one cosmetic deformity for another. For most patients with a small amount of gynecomastia, a periareolar incision can be used to excise the breast tissue.
