• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below.
  • We're introducing new features and a new look to make the forums easier to use and more valuable to you. See what's new and let us know what you think!



Best answers
Please review the Following Dr is wanting to bill for Bilateral Mastopexies 19316-50 with Debridement codes 11042 & 11045. My gut is telling me that this is the wrong direction to go in. I could see billing for 19316-50 as mastopexies were performed but I feel like the debridement codes are inherent to and would be bundled with the mastopexy procedure as tissue is usually excisied from the breast here. OR I also considered maybe 13160? This patient did not have cancer or mastectomy. ( I am also concerned that the codes for the mastopexies will be denied as cosmetic but, that might just be a battle for another day)


1. Excision of right breast scar tissue measuring 20 x 10 cm
2. Right Mastopexy
3. Left breast mastopexy for symmetry

1. Right breast open wound, status post necrotizing fasciitis
2. Breast asymmetry following debridement for necrotizing fasciitis

Patient recovering from bout of necrotizing fasciitis of her right breast. She was hospitalized and underwent debridement and wound VAC treatment. As a result of her debridement the patient lost her right nipple and had significant asymmetry between the sizes of her breast. Dr reshaped the right breast and removing the scar tissue and remaining area of granulation tissue. A Wise pattern incision was made similar to a breast reduction. A full thickness excision of the granulation tissue and thickened scar that over lied the lower pole of the breast was performed. Once this was done the Dr re-drapes the superior skin breast tissue flap over the remaining inferiorly based tissue in order to reshape the breast.

Once the right was completed Dr performed a traditional mastopexy for symmetry on the left breast.