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DIEP Flaps

  1. Thumbs down DIEP Flaps
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    Billing DIEP Flaps - two surgeons - was using 19364 for each breast - per documentation - per further review/discussion - wondering if modifiers 50/62 more appropriate (each surgeon operates on a breast/performs dissection/artery/vein for each breast) - any help/discussion would be greatly appreciated. Many thanks.

  2. #2
    Milwaukee WI
    Default Mod 50/62
    Yes, I would use Modifiers 50 / 62 in this case.

    F Tessa Bartels, CPC, CEMC

  3. Default
    Many/Many thanks for you response - concerned about dictation - not sure it supports 50/62 - as of now - each surgeon indicates each breast - dissection??

  4. #4
    I would have one surgeon code 19364 - LT, and the other surgeon code 19364-RT.
    They are each doing a separate procedure, and each should have a separate op note.

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