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Breast reconstruction

louise Posted Thu 12th of March, 2020 07:24:02 AM
1.) Bilateral revision reconstructed breasts 19380 2.) Suction assisted lipectomy trunk for localized adiposity 15877 3.) fat grafting upper chest depressed port scar, separate from breasts 13101 80cc L , 20 cc R 4.) lipectomy bilateral hip standing cone deformity excision/removal 15384 * Bilateral abdominal dog ears revised * Fat grafting to Rt mediport depressed and unaesthetic scar 6cc
SuperCoder Answered Fri 13th of March, 2020 07:13:39 AM

Hi,

 

Thank you for the question!

 

Kindly, clarify the question related to the above-mentioned coding scenario so that we can help you with the response. CPT code 19380 Revision of reconstructed breast is the appropriate code for the reconstruction of the breast.

 

louise Posted Fri 13th of March, 2020 08:52:17 AM
Is this coded correctly ?
SuperCoder Answered Mon 16th of March, 2020 03:29:36 AM

Thank you for your Question!

 

CPT® code 19380 (Revision of reconstructed breast) with modifier 50 is appropriate for Bilateral revision reconstructed breasts.

Medicare’s Correct Coding Initiative bundles 13101 as a column 2 code to 19380, but a modifier can be used to unbundle the codes, when appropriate. Since the scar revision and breast reconstruction involve different sites on the breast, the edit pair can be overridden by appending modifier 59 (Distinct procedural service) to 13101.

CPT® code 15877 (Suction assisted lipectomy; trunk) appropriate for Suction assisted lipectomy trunk for localized adiposity.

CPT® code 15384 is inappropriate code. CPT® code 15834 (Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip) seems appropriate for lipectomy bilateral hip standing cone deformity excision/removal.

Kindly co-relate with your detailed operative note.

 

Hope this Helps!

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