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Revision reconstructed breast

  1. #1
    Wink Revision reconstructed breast
    Exam Training Packages
    My doctor did a second stage of breast reconstruction after breast cancer with the following procedures:
    Right Breast
    1. Removal of tissue expander
    2. Lateral Capsulorrhaphy with a lateral strip of capsule removed.
    3. Medial Dog-ear revision
    4. Breast reconstruction with Mentor 700cc smooth round implant

    Left Breast
    1. Removal of tissue expander
    2. Lateral Capsulorrhaphy with a lateral strip of capsule removed.
    3. Lateral Dog-ear revision.
    4. Breast reconstruction with Mentor 700cc smooth round implant

    My doctor wants to know if he can bill for the dog ear revision? I also dont see a code for capsulorrhapy only capsulotomy and capsulectomy. kati

  2. #2
    Location
    Albany, New York
    Posts
    457
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    If the surgeon accessed the tissue expanders via the original incision site, I would only code 11970 (x2) for this scenario.
    Karen Maloney, CPC
    Data Quality Specialist

  3. Default
    "I also dont see a code for capsulorrhapy only capsulotomy and capsulectomy. kati"


    Capsulorrhapy is included in the 19380 (revision reconstructed breast) per CPT corner.

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