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Wiki Free Nipple Graft CPT?

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skpartiss

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Bristol, CT
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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! :)
 
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 --
 
Correction--free nipple graft not sep. billable

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