Opioids are substances that act on the nervous system in a similar way to opiates such as morphine and codeine. In a medical context the term usually indicates medications that are artificially made rather than extracted from opium.any of the alkaloids and other derivatives of the opium poppy are not opioids or narcotics; the best example is the smooth-muscle relaxant papaverine. Noscapine is a marginal case as it does have CNS effects but not necessarily similar to morphine, and it is probably in a category all its own.
Modified radical mastectomy This type of mastectomy is usually done to treat invasive cancer that has spread to the lymph nodes. During the mastectomy the breast tissue and a strip of skin with the nipple is removed.
The pivot of coding mastectomy procedures is the amount of tissue removed and any other tissue that may be removed along with breast tissue. As per CPT guidelines, codes 19301 and 19302 are used to report partial mastectomy procedures with clear documentation of attention to removal of adequate surgical margins.