Results 1 to 5 of 5

Breast Reconstruction-Fat Injection by Liposuction

  1. Default Breast Reconstruction-Fat Injection by Liposuction
    Medical Coding Books
    Patient had a mastectomy then a DIEP Flap reconstruction (S2068). Patient then comes back for a breast revision in addition to fat injections. Fat is obtained via liposuction.

    Is it correct to report CPT procedure codes 11954 (for the fat injection) and CPT procedure code 20926 (for fat that was obtained via liposuction for the fat injection) in addition to the breast revision (CPT procedure code 19380)?

    I just want to make sure 11954 and 20926 are correct.

    Thank you for your thoughts on this issue.
    Denise

  2. #2
    Default fat injections for breast reconstruction
    One of my plastic surgeons does this quite frequently. I've used 15877, because he does use a cannula and performs a lipectomy, then uses a centrifuge to separate the fat and oil, and injects the pure fat into the deformities. Based on the amount (per CC's) I would use codes 11952-11954. Hope this helps.
    Malama pono,

    Sundae Yomes
    CPC, CPMA, CEMC, CGIC, CGSC, CCS-P

  3. #3
    Default
    19380

  4. #4
    Default
    Why would you use 19380? There was no mention of cutting into the patient's breast at all.
    Malama pono,

    Sundae Yomes
    CPC, CPMA, CEMC, CGIC, CGSC, CCS-P

  5. Default
    I would report CPT 19380 [revision reconstructed breast] for fat injections. The intended purpose of this procedure is to 'revise' the shape or correct deformity when tissues have settled post reconstruction by TRAM, latiss, expander, implant, etc. I would also bill CPT 20926 to report the fat harvest/preparation. Although direct incisions may not be made into the breast, CPT 19380 is the only breast code available that closest describes the procedure performed [adding tissue to revise the shape of the breast]. Request that your surgeon be as detailed as possible dictating the way s/he injects the fat, amount injected, sutures the injection sites, and manual techniques utilized to revise the shape. CPTs 11950-11954 should be reported when injections are made using 'shelf-type' filling material [i.e. collagen, juvederm, etc.] Historically many payers have denied the injection codes as 'cosmetic in nature' or 'experimental.' So if you decide to bill 11950-11954, keep an eye on reimbursement trends.
    Last edited by plasticscoder; 01-13-2012 at 07:44 AM.

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. Fat Transfer Breast
    By ashack63 in forum Plastic Surgery
    Replies: 1
    Last Post: 06-27-2013, 11:50 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/Breast Reconstruction
    By kdhecb1 in forum Plastic Surgery
    Replies: 4
    Last Post: 06-10-2009, 09:30 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?

Login

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.