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Wound Dehiscence after Breast Reconstruction with replacement of gel implant

Cheryl Posted Thu 08th of August, 2019 09:45:27 AM
Patient had undergone bilateral 2nd stage breast reconstruction with placement of silicone gel implants. Several days later Pt was doing a stretching exercise and the right breast incision opened spontaneously. Pt brought back to the OR with a 5.5cm opening and implant visualized. Implant removed, wound edges sharply debrided and then a new implant was placed. No infection had occurred. Reviewing CPT 19380 for this procedure. Thank you.
SuperCoder Answered Fri 09th of August, 2019 06:14:04 AM
In CPT the revision is done on a reconstructed breast usually to correct a problem with asymmetry but other cause also can be considered The physician removes excess amounts of tissues skin and fats to reshape the breast to look like the contralateral other breast If necessary a new prosthesis...

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