Question on a TRAM revision: Our doctor revised the whole flap due to a small area of necrosis, it involved undermining muscle so I don't feel 19380 really adequately represents the work done. The surgeon would also like to charge 19120 for excising the mass of necrosis, however I think 21556 would be more appropriate since its not breast tissue. Does anyone have experience with this situation and any appropriate code advise they would like to share?
Thank you!
Thank you!