In Coding
Sep 10th, 2018
For non-Medicare payers, temporary codes provide the most accurate reporting and reimbursement of these clinically complex procedures. Unlike other flaps used for breast reconstruction, deep inferior epigastric perforator (DIEP) flaps preserve muscle function at the donor site, improving the patient’s core strength and reducing the risk of hernia after surgery. Conflicting and outdated guidelines m...
In Coding
Dec 1st, 2013
Dear John, Q. There’s been ongoing confusion in our office regarding the proper coding of deep inferior epigastric perforator flap (DIEP) for breast reconstruction. Should we be using HCPCS Level II code S2068, or CPT® 19364? May we also code separately for partial rib resection (21600) when performed as part of the reconstruction? A. The ...
Sep 1st, 2012
By Govind Acharya, MD, FACS Reconstructive plastic surgeons offer several procedures for breast reconstruction. Many women opt for immediate breast reconstruction at the time of mastectomy. Here, we will discuss immediate breast reconstruction using expander-implant and dermal allograft. Breast Reconstruction Progresses in Three Stages Stage 1 A patient is scheduled for mastectomy by her oncologic ...
Jul 26th, 2012
“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 ...