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Breast Tissue Expanders

  1. #1
    Location
    Coeur D'Alene, Idaho
    Posts
    39
    Default Breast Tissue Expanders
    Medical Coding Books
    I'm wondering if there is a valid HCPC code to bill breast tissue expanders to Medicare with? I can't seem to find anything even close besides C1789, and I'm not sure it would fall under that.

    Any advice is appreciated, thanks!

  2. #2
    Default
    If you are billing for an ASC you cannot bill Medicare seperately for the tissue expander. They are included in the reimbursement for code 19357.

  3. #3
    Location
    Coeur D'Alene, Idaho
    Posts
    39
    Default
    Ok, thanks for the info!

  4. #4
    Location
    Coeur D'Alene, Idaho
    Posts
    39
    Default
    Ok...

    Now that I look at my question again I realize it was silly. What my real question would be is if there is a valid HCPC for tissue expanders for private insurance companies.

    I can't find any info anywhere for anything other than the permanent implants that will be going in later.

    On a similar note...did your office have to contract for this procedure specifically? Reimbursement seems extremely low across the board for this procedure. For one carrier in specific, they reimburse about $1,000 less than the tissue expanders alone. Does this sound typical?

    Thank you!

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