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Code that is correct for Removal of Expander Implant and Replace with Permanent

Linda Posted Mon 20th of February, 2017 11:43:49 AM
Our practice has been coding code 11970 for removal of expander implant and replace with perm implant. We also bill code 19370 or 19371 with code 11970. Is this correct? Question 2: If you bill code 19380 with code 19342? Is that correct? Thanks Linda M.
SuperCoder Answered Tue 21st of February, 2017 08:08:05 AM

Hi,

Our team is working on it and will get back soon.

SuperCoder Answered Tue 21st of February, 2017 08:08:05 AM
Hi, Our team is working on it and will get back soon.
SuperCoder Answered Wed 22nd of February, 2017 06:49:29 AM

Hi,

When a tissue expander is removed and replaced w/ a permanent prosthesis, report 11970 if no other procedures are performed. This code includes exposure, incision of the capsule to access the expander, removal of the expander and the injection port, and placement of a permanent prosthesis. Coding for separately for any of these components is unbundling.

For second question, kindly submit a under a separate thread.

SuperCoder Answered Wed 22nd of February, 2017 06:49:29 AM
Hi, Our team is working on it and will get back soon.

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