Repositioning breast implant with flap revision

R1CPC

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Pt completed breast reconstruction as of April 2017, however implant were malpositioned and returned to revise breast by replacing implant, revising dog ear from previous breast reduction, revising flap. Would we bill 19340 with 19380 or only 19340? I'm just unsure if 19380 may be billed with other codes, encoder coding tip says when billing 19380:

If an existing breast prosthesis is replaced, it may be reported separately, see 19340.
 

jbeckmann

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Did you ever find the codes for this? I am looking for a similar thing.

Procedure-
Exchange of right breast implant
Right breast capsulorrhaphy
Development of right capsular flap
Placement of GalaFLEX matrix
 
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