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CPT® 19342, Under Repair and/or Reconstruction Procedures on the Breast

The Current Procedural Terminology (CPT®) code 19342 as maintained by American Medical Association, is a medical procedural code under the range - Repair and/or Reconstruction Procedures on the Breast.

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Summary

After some period of time following a mastectomy (breast excision), the provider performs another procedure to insert or replace a breast implant.

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Question about CPT Codes
I have a surgery that needs billed out for Tissue expanders being removed from the Breasts and Breast implants placed. According to the 2020 CPT book it says to use the 19342 with a 50 modifier for Bi... [ Read More ]
19342 with 19316
Hi, 19342 implant replacement bundled into 19316 mastopexy is weird to me too. I can't find coding advice that explains criteria to unbundle, these 2 different procedures. Of course contralateral is ... [ Read More ]
19342 with 19316
Is 19316 included in 19342? I have a patient that had delayed placement of implant and a lift. Why would 19316 be bundled in 19342 and not in 19340? That's weird to me.... [ Read More ]
Breast Reconstruction
I am having trouble figuring out the coding for.."Right mastopexy w/ implant placement, removal of left ruptured implant, left partial capsulectomy, replacement of left implant". I billed: 19342 (50 m... [ Read More ]
19342 & 19371
CPT 19371 is for a complete capsulectomy and includes the removal of all intracapsular contents. It cannot be assigned with 19328 and 19370, but 19342 can be reported separately for replacement of a n... [ Read More ]
19342 & 19371
Can 19342 & 19371 be billed together when performed on the same breast? Procedure(s): Bilateral exchange of breast implants and right breast capsulectomy Indications: This is a 67 yo female s/p pr... [ Read More ]
Rupture/Reconstruction
[QUOTE="cpc2007, post: 488900, member: 15287"] The edit between 19330 and 19380 has a rationale of "Mutually Exclusive Procedures." This means that the two procedures cannot reasonably be performed at... [ Read More ]
Rupture/Reconstruction
The edit between 19330 and 19380 has a rationale of "Mutually Exclusive Procedures." This means that the two procedures cannot reasonably be performed at the same anatomic site during the same encount... [ Read More ]
breast implants
The original post was long ago, but I thought it worth updating The answer is 19342. This includes removal of the existing implant/TE and revision to the breast to accommodate and properly seat the ... [ Read More ]
Billing CPT code 19342 bilateral
Depending on your payer you could bill it one of two ways. Most would accept ONE line with 19342-50 (which would show bilateral and equal two units.) There may be few exceptions that will take 19342 ... [ Read More ]
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