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Revision of reconstructed breast with tissue expander

  1. #1
    Question Revision of reconstructed breast with tissue expander
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    Physician is wanting to bill both 19380 and 19357, but CCI Edits are bundling tissue expander into the revision of reconstructed breast. Can I bill both and put a 59 modifier on cpt code 19357?

    OPERATIONS:
    1. Revision of right breast reconstruction by excision of redundant tissue from the posterior axilla.
    2. Placement of tissue expander, right breast, for correction of disproportion.

    Thanking you in advance,

  2. Default
    Cannot bill 19357 and 19380 on the same breast, same session

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