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Wiki oncoplastic closure code after breast surgery?

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dskaplan@verizon.net

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Can someone please help me w/ coding oncoplastic closure after partial mastectomy. MD states we should be coding for this. I have been using 14000 & it is being paid, yet there is disagreement w/ other coders saying 14000 is not correct. I have looked up many different articles & there is no definite answer to this. Any help will be appreciated. Thanks!
 
Onocoplasty is simply a breast reconstruction which usually involves a reduction and possibly a tissue expander, in the same operative session as the lumpectomy or partial mastectomy. You should look under you breast reconstruction codes 19357-19369.
 
oncoplasty closure

Thanks for your reply.:confused: The problem w/ those codes is that they take tissue from other sites of the body. The opt notes I have state that there is just a rearrangement of tissue in the same breast by creating another incision in the breast. Closest I can find is 14000; would that be correct? Thanks again!
 
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