Results 1 to 4 of 4

Breast Tissue Expander

  1. #1
    Milwaukee WI
    Default Breast Tissue Expander
    Medical Coding Books
    Okay ... this is for a pre-authorization for surgery. So I don't have an op report yet. Here is what the surgeon's assistant sent me ...
    This patient has a tissue expander in her right breast for burns she sustained as a child (she is now 18). The expander has folded onto itself and doctor wants to inject it but in the OR under sedation as she cannot tolerate the large needle needed, plus the expander isn't in a normal position. Any idea what code I can use for this????

    On further investigation ... the OR is booked for only 30 minutes. Surgeon is certain that he will only need to fill the expander. He does not believe he'll be replacing it, as it was placed so long ago as to be completely encapsulated by now. The expander has not ruptured, and he feels he can inject it with good result.

    Right now I'm thinking 19499 Unlisted Procedure, Breast. But I'd welcome anyone else's suggestions.

    Oh, and I promise to let you know what eventually happens!

    Thank you in advance for your help.

    F Tessa Bartels, CPC, CEMC

  2. #2
    Default Filler
    How far is the needle going? If subq ... what about 11950-11954, the code varies based on CC's.

    Just a suggestion. Otherwise, I'd stick to the unlisted.

  3. #3
    Milwaukee WI
    Default 19499
    Well, we went with the unlisted code ... 19499.

    We did get pre-auth from the patient's insurance (AFDC HMO) for this unlisted code.

    I'll let you know if we get paid.

    F Tessa Bartels, CPC, CEMC

  4. #4
    Milwaukee WI
    Default We got paid
    We got paid by AFDC for this procedure. (Yippee Skippee)

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. breast tissue expander/implant exchange
    By tabithal in forum Plastic Surgery
    Replies: 1
    Last Post: 04-03-2015, 03:23 PM
  2. replacement of breast tissue expander
    By rgrimes in forum Plastic Surgery
    Replies: 1
    Last Post: 05-09-2013, 02:03 PM
  3. Removal of tissue expander, breast implant, & revision
    By Kevinph84 in forum Plastic Surgery
    Replies: 2
    Last Post: 10-18-2011, 01:06 PM
  4. Revision of reconstructed breast with tissue expander
    By shante in forum Plastic Surgery
    Replies: 1
    Last Post: 06-21-2010, 12:33 PM
  5. Replies: 0
    Last Post: 05-25-2009, 10:25 AM

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.