Wiki Breast implant removal with a mastectomy

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michele1me@yahoo.com

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We have a patient that has bilateral breast implant. She is needing a left modified radical mastectomy for breast cancer and a prophylactic simple mastectomy on the right. Can I bill removal of the breast implants with code 19328 or is it considered part of the mastectomies?
 
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Hi I hope this helps.

For 19303 &19307 shouldn’t add 19328 in addition. Already bundled


-Simple Mastectomy 19303



“…Aetna considers the removal of breast implants medically necessary for members who meet the following selection criteria….”
https://www.aetnabetterhealth.com/p...acy-bulletins/0142 Breast Implant Removal.pdf



-Mastectomy mod radical 19307



https://bulletin.facs.org/2018/09/f...bout-cpt-coding-for-breast-surgery-an-update/
“…In this instance, removal of the implant in the left breast would be included with radical mastectomy of the left breast. However,…”

Christine DiTroia CPC
 
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