Free Nipple Graft CPT?

[skpartiss]

Hi,
Our doctor is doing a reduction mammoplasty (19318). He also did a free nipple graft and is questioning whether this can be billed seperately. I cannot find a code for this procedure and was wondering if anyone can give me a hand with this one! Thanks!

 

[terridiaz]

We don't bill the free nipple graft seperate, we include it in the 19318.

Terri

 

[CVR]

Nipple Graft

19318 includes repositioning of nipple. To remove completely and reattach is a lot more work. Sample test question from the CPRC study guide suggests billing 19350 for this. My docs feel that this is appropriate, however I have not had the opportunity to bill it --

 

[CVR]

Correction--free nipple graft not sep. billable

Sorry--the free nipple graft IS inclusive to 19318----per the ASPS

 

[skpartiss]

Thanks!

Thank you for your help!

 

[tinaboe]

tinaboe

I agree that it is included with the code 19318 but if it there was a significant amount of work involved I would add the 22 modifier.