Webinar

Breast Cancer Coding Masterclass: From Diagnosis to Reconstruction

By Leigh Poland and Krithika Sairajan

On-Demand

Breast cancer coding requires precision across both ICD-10-CM diagnosis coding and CPT procedure coding. Accurate code assignment depends on clear documentation of site, laterality, disease type, treatment status, and surgical technique. Errors can affect compliance, reimbursement, and audit risk.

As treatment pathways become more complex, coders must accurately interpret documentation spanning diagnosis, surgery, reconstruction, and follow-up care. This includes distinguishing invasive carcinoma from carcinoma in situ, applying neoplasm sequencing guidelines, differentiating mastectomy types, and correctly coding staged reconstruction and revision procedures.

In this on-demand AGS Health webinar, coding experts provide practical guidance for navigating breast cancer coding from diagnosis through reconstruction. Watch to strengthen coding consistency, support claim accuracy, and reduce the risk of preventable denials.

Learning Objectives

  • Apply the ICD-10-CM site, sex, and laterality structure to assign accurate breast cancer diagnosis codes and distinguish invasive carcinoma from carcinoma in situ.
  • Apply ICD-10-CM neoplasm sequencing guidelines to determine when the malignancy, a treatment-encounter code, or a personal history code should be sequenced first.
  • Differentiate mastectomy CPT codes by documented extent: partial or segmental, simple or complete, subcutaneous, radical, and modified radical.
  • Distinguish pedicled flap reconstruction from free flap reconstruction.
  • Correctly sequence and code staged implant-based reconstruction, including tissue expander insertion and immediate versus delayed implant placement, as well as revision procedures such as capsulotomy, capsulectomy, and revision of a reconstructed breast.

Watch now for a practical framework to support consistent, compliant breast cancer coding from diagnosis through reconstruction.

This webinar is available free on demand. If you are interested in receiving continuing education credit, please contact us to learn more about obtaining credit through AGS Coding Academy.

Leigh Poland

Leigh Poland RHIA, CCS, CDIP, CIC

Speaker

Vice President, Coding Services, Clinical Quality & Education, AGS Health

Leigh has over 20 years of coding experience and has worked in the coding and education realm over the last 20 years. Her true passion is coding education making sure coders are equipped to do their job accurately and with excellence. Academically, Leigh has graduated from Louisiana Tech University with a Bachelor of Science. Leigh has had the opportunity to present many times in the past at the AHIMA, ACDIS, and AAPC National Conventions. She has been a guest speaker on AHIMA webinars and has written several articles that were published in the AHIMA Journal. Leigh has traveled the US and internationally providing coding education.

Vatsal Shah

Krithika Sairajan, CPC

Speaker

General Manager, Medical Coding Quality, AGS Health

Krithika brings 17 years of diverse revenue cycle management (RCM) experience spanning both operations and quality. As a General Manager of Medical Coding Quality, she oversees the professional coding quality function across multiple clients. Her expertise includes emergency department (ED) coding, evaluation and management (E&M) coding, hospital medicine, and urgent care.

Throughout her career, Krithika has led many large-scale transitions, setting high-performing quality functions and delivering exceptional quality standards for complex projects. With a strong focus on coding accuracy and customer satisfaction, she has developed dashboards that analyze acuity patterns and audit trends, supporting data-driven quality improvements and consistently high standards.

Krithika holds a Bachelor of Physiotherapy degree and an MBA in Hospital Management.

On-Demand
Duration: 90 minutes (No CEU Credit)
Watch Now

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