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Thread: Free Nipple Graft CPT?

  1. #1

    Exclamation Free Nipple Graft CPT?

    AAPC: Back to School
    Our doctor is doing a reduction mammoplasty (19318). He also did a free nipple graft and is questioning whether this can be billed seperately. I cannot find a code for this procedure and was wondering if anyone can give me a hand with this one! Thanks!

  2. #2


    We don't bill the free nipple graft seperate, we include it in the 19318.


  3. #3
    Join Date
    Apr 2007

    Default Nipple Graft

    19318 includes repositioning of nipple. To remove completely and reattach is a lot more work. Sample test question from the CPRC study guide suggests billing 19350 for this. My docs feel that this is appropriate, however I have not had the opportunity to bill it --

  4. #4
    Join Date
    Apr 2007

    Default Correction--free nipple graft not sep. billable

    Sorry--the free nipple graft IS inclusive to 19318----per the ASPS

  5. #5

    Smile Thanks!

    Thank you for your help!

  6. #6
    Join Date
    Apr 2007
    Baltimore East

    Default tinaboe

    I agree that it is included with the code 19318 but if it there was a significant amount of work involved I would add the 22 modifier.

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