AAPC - Back to school
Results 1 to 3 of 3

Thread: 19342 with 19316

  1. #1
    Join Date
    Apr 2007
    Oak Ridge

    Question 19342 with 19316

    AAPC: Back to School
    I have a surgeon who wants to bill a bilateral delayed insertion (19342-50) with a RT Mastopexy (19316-RT). According to CCI these are mutually exclusive...
    Here is the OP note in short form...

    PreOp Dx: Hx of prev partial Lt mastectomy

    1. Bilateral augmentation of the breast for symmetry purposes following partial mastectomy.
    2. Rt mastopexy for symmetry purposes following left partial mastectomy.

    Procedure in Detail:
    Pt brought to preop hold area....Left side addressed first. An inframammary fold incision was made approximately 2.5cm in length and carried through skin and subcutaneous tissue and the breast tissue to the border of the pectoralis major muscle which was released along the length of the inframammary fold approximately 1.5cm up from the fold. Contralateral procedure was done in a similar fashion... Symmetry was achieved with asymmetric volumes of the implants; however, additional contouring for shap and position of the nipple areolar complex was addressed with the mastopexy...The nipple areolar complex was elevated and "tacked" into position. The wedge component was then resected. Full-thickness wounds closed...

    Any feedback or ideas on how to code this would be greatly appreciated..
    Thanks so much!

  2. #2


    I would code this as 19340-50, 19316-RT because this is immediate insertion following mastopexy, mastectomy or in reconstruction.
    19342 is for days-months after mastopexy, mastectomy or in reconstruction.

  3. #3
    Join Date
    Apr 2007
    Oak Ridge


    THANK YOU!!! That was exactly what I needed...the clarification on immediate vs. delayed. I really appreciate your help!

Similar Threads

  1. Help coding breast surgery 19342-50
    By MELJNBBRB in forum Plastic Surgery
    Replies: 3
    Last Post: 06-09-2015, 06:36 AM
  2. CPT 19340, 19342, and 19371
    By BettyM* in forum Plastic Surgery
    Replies: 0
    Last Post: 05-27-2015, 09:44 AM
  3. 11970-50 vs 19342-50
    By MELJNBBRB in forum Plastic Surgery
    Replies: 2
    Last Post: 02-03-2015, 06:52 AM
  4. 19342 vs. 11970
    By efuhrmann in forum Plastic Surgery
    Replies: 3
    Last Post: 11-16-2009, 12:34 PM
  5. The differenc between using 11970 & 19342 - can any one help me out with the cpt
    By Gloria62 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 02-28-2008, 11:10 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.