Advance: Reconstructive Breast Cancer Coding

“Every breast cancer patient is different in how their cancer is being treated,” stated former AAPC National Advisory Board member Susan Ward, CPC, CPC-H, CPC-I, CPCD, CEMC, CPRC in the most recent coding corner column for Advance in discussing the process of coding breast reconstructive issues.
“Breast reconstruction with the placement of a tissue expander is CPT code 19357. The code describes the procedure as immediate or delayed and includes all subsequent expansions. For the patient who wants to begin reconstruction immediately, such as the same day as her mastectomy, the placement of the tissue expander is done at the same time. A general surgeon performs the mastectomy, and then the reconstructive plastic surgeon steps in and places the tissue expander. ”
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