Wiki CPT for malposition of implant on (left) contralateral breast of Rt breast recon

marysaxon

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I'm stumped on what cpt code to use since the breast is not the reconstructed breast. it's the contralateral breast (left) that Dr is wanting to basically tighten implant position. We're wanting to get pre determination through insurance and I'm needing a code. Any suggestions?

is a 45 -year-old who underwent right breast reconstruction over this past year following a mastectomy for right breast cancer. To improve symmetry, the left breast was augmented and lifted. Currently, she is having problems with dynamic lateral malposition of the left implant manifest by falling to the side of her chest wall when supine. To stabilize the left implant position on the anterior chest wall, I have recommended left breast lateral capsuloplasty/capsulorraphy.
 
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