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Wiki Help with CPT 19300

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asasands

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When we code 19300 for gynecomastia for a man, insurances always denie it for cosmetic purposes. What CPT do you guys use if a surgeon does a mastectomy for gynecomoastia? Would you use 19120????

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If they state gynecomastia you have no choice but to use 19300. When our doctor states removal of a breast mass from a male then we use 19120.
I base the code in this type of case on the diagnosis I am given.
And yes we too get denials when it is gynecomastia with no pain.
 
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