How To Use CPT Code 3372F

CPT 3372F describes the documentation and reporting of stage I breast cancer in female patients aged 18 years or older. This article will cover the description, official guidelines, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 3372F?

CPT 3372F is used to document and report stage I breast cancer in female patients who are 18 years of age or older. This code specifically applies to tumors that fall under the subclassifications of T1mic, T1a, or T1b. T1mic refers to microinvasion, indicating a tumor size of 0.1 cm or smaller. T1a represents tumors larger than 0.1 cm but not exceeding 0.5 cm, while T1b encompasses tumors that are larger than 0.5 cm but less than 1 cm in size.

2. Official Description

The official description of CPT code 3372F is the documentation and reporting of stage I breast cancer in female patients aged 18 years or older, with subclassifications of T1mic, T1a, or T1b. This code is used to indicate the presence of tumors within the specified size ranges.

3. Procedure

1. When diagnosing a female patient aged 18 years or older with breast cancer, the healthcare provider must determine the stage of the cancer.
2. If the cancer falls under stage I, the provider should further classify it as T1mic, T1a, or T1b based on the size of the tumor.
3. The provider should document the stage and subclassification of the breast cancer, along with the date of measurement, in the patient’s healthcare record.

4. Qualifying circumstances

CPT code 3372F is applicable to female patients aged 18 years or older who have been diagnosed with stage I breast cancer. The subclassifications of T1mic, T1a, or T1b are used to specify the size of the tumor. The code should be reported at least once within a year to accurately document the stage and subclassification of the breast cancer.

5. When to use CPT code 3372F

CPT code 3372F should be used when documenting and reporting stage I breast cancer in female patients aged 18 years or older. It is essential to include the specific subclassification of the tumor, whether it is T1mic, T1a, or T1b, to provide accurate information about the size of the tumor.

6. Documentation requirements

To support the use of CPT code 3372F, the healthcare provider must document the following information:

• Diagnosis of stage I breast cancer in a female patient aged 18 years or older
• Subclassification of the tumor as T1mic, T1a, or T1b
• Date of measurement of the tumor size
• Inclusion of the code at least once within a year

7. Billing guidelines

When billing for CPT code 3372F, ensure that the documentation meets the qualifying circumstances and includes the necessary information. It is important to accurately report the stage and subclassification of the breast cancer. CPT code 3372F should not be reported with other codes unless specified by additional guidelines or requirements.

8. Historical information

CPT code 3372F has undergone several changes in its historical timeline. The most recent change occurred on January 1, 2020, when the code was updated to include the subclassification of T1mic, T1a, or T1b for stage I breast cancer. Prior to that, changes were made on January 1, 2018, 2017, 2016, and 2013. The code was initially added to the Current Procedural Terminology system on January 1, 2010.

9. Examples

1. A healthcare provider documents stage I breast cancer with a tumor size of 0.2 cm in a female patient aged 40.
2. A physician records stage I breast cancer with a tumor size of 0.8 cm in a 55-year-old woman.
3. A surgeon documents stage I breast cancer with a tumor size of 0.4 cm in a 65-year-old patient.
4. An oncologist reports stage I breast cancer with a tumor size of 0.6 cm in a 70-year-old female.
5. A radiologist records stage I breast cancer with a tumor size of 0.3 cm in a 50-year-old woman.
6. A nurse practitioner documents stage I breast cancer with a tumor size of 0.9 cm in a 45-year-old patient.
7. A healthcare provider reports stage I breast cancer with a tumor size of 0.7 cm in a 60-year-old female.
8. A surgeon records stage I breast cancer with a tumor size of 0.5 cm in a 75-year-old woman.
9. An oncologist documents stage I breast cancer with a tumor size of 0.1 cm in a 55-year-old patient.
10. A radiologist reports stage I breast cancer with a tumor size of 0.8 cm in a 65-year-old female.