Coding help

samyjm13

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Meridian, ID
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Patient had a breast augmentation and her plastic surgeon does a fluid expansion every 2 weeks, this is done under the global and is not charged out each time. However, she is coming to our clinic and having this fluid expansion done and she is not under her global here at our office. This is a new one on me for the fluid refill and am not sure how to code the CPT other than unlisted procedure, breast 19499, and the ICD 9 code had me a little concerned as well. Would this still be considered reconstruction? PLEASE HELP!

Thank you
 

mpizor

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Breast reconstruction is different from breast augmentation. If the augmentation was done for cosmetic reasons, you would bill as a cosmetic procedure with ICD-9 V50.1 and CPT 19499. If she's post recon, you'd bill with either personal history of cancer, V10.3 or family history of cancer V16.3

Hope that helps!
 
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