Results 1 to 5 of 5

Fat injections/Breast Reconstruction

  1. #1
    Default Fat injections/Breast Reconstruction
    Medical Coding Books
    What is the CPT code for Fat injection to breasts to correct asymmetry breast. We are doing a revision of reconstructed breast 19380. Dr. may also perform Fat injection. Can anyone advise? Thank you.

  2. Default
    Per CPT Corner September 2007:

    Q:If a fat injection is performed, should I use 1195X or 15770?


    Codes 11950-11954 ("subcutaneous injecton of fililng material") are generally used for "off the shelf" injectables (e.g. collagen). They do not require a donor site of preparation of a graft. An autogenous fat graft requires a donor site, perparaton of the fat tissue, then injection into the recipient site. 15770 better reflects the expertise and physician time and work in performing fat grafts tahn does the 1195X series.

    Since the descriptor for 15770 reads "Graft derma-fat-fascia," append modifier -52 to indicate taht the graft does not include dermis or fascia.

  3. Default
    We have always used 20926 with no problems with payment.

  4. #4
    Chicopee, MA
    Default Similar case...
    I have a very similar case. The doc harvested the fat via aspiration from the abdomen. How should I code that? 15770 & 20926 both indicate open incision to obtain the fat. Should I use 15877, lipectomy of trunk? Can I also use 11950-11954 to include the implanting of the fat?

  5. #5
    Columbia, MO
    20926 is a code for harvesting tissue/fat via an open incision,
    11950-11954 is for injection of filling material to include collagen, autologous fat, synthetic surgical compound.
    The 15770 is an open procedure to apply a graft.
    I am not in agreement to use the 15770 with a 52 modifier, as the full description of the 11950-11954 code says everything you did.
    as far as harvesting of the fat, it is generally considered to be part of the procedure unless you did do this via an incision.

Similar Threads

  1. Staged Breast Reconstruction w/fat grafting
    By sls in forum Plastic Surgery
    Replies: 0
    Last Post: 10-05-2015, 04:05 PM
  2. fat necrosis following TRAM flap breast reconstruction
    By wdorian in forum Plastic Surgery
    Replies: 0
    Last Post: 06-12-2014, 08:21 AM
  3. Breast Reconstruction-Fat Injection by Liposuction
    By Denises in forum Plastic Surgery
    Replies: 4
    Last Post: 01-13-2012, 08:39 AM
  4. Facial reconstruction using fat transfer?
    By sweetybird0472 in forum Plastic Surgery
    Replies: 3
    Last Post: 05-25-2011, 10:03 PM
  5. Fat Injections
    By LisaLMay in forum Plastic Surgery
    Replies: 2
    Last Post: 02-27-2009, 01:35 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.