Although, modifiers are not usually assigned on the CCS exam, when modifiers are included in the answer and are appropriate, modifiers should be assigned. In this case, 19303 describes the mastectomy and 19307 the mastectomy with axillary dissection (see CPT Assistant Feb 07:4, Sep 08:5, Mar...
wherein the targeting moiety (TM) is the SSTR2 inhibitor variant, bearing azatoxin (AZA) as bioactive agent D1, camptothecin (CPT or CAMP) as bioactive agent D2, and chlorambucil (CLB) as bioactive agent D3;
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