Question ONCOPLASTIC BREAST REDUCTION W/FREE NIPPLE GRAFT

mkndevh@msn.com

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Hi! A plastic surgeon I just started coding for did a LEFT ONCOPLASTIC BREAST REDUCTION WITH FREE NIPPLE GRAFT and a RIGHT BREAST REDUCTION FOR SYMMETRY. The codes provided were 19366 & 19350-52 for the left & 19318 for the right. Is the 19350-52 separately billable? In researching these codes I'm finding that the free nipple graft is inclusive to 19318 per ASPS. Is this correct? I know there's a NCCI edit for 19318 & 19350.
I'm thinking it should be 19318-50 (-22 for the grafting?)??
Any advice or guidance is much appreciated. Thank you.
 
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