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Help with CPT 19300

  1. #1
    Default Help with CPT 19300
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    When we code 19300 for gynecomastia for a man, insurances always denie it for cosmetic purposes. What CPT do you guys use if a surgeon does a mastectomy for gynecomoastia? Would you use 19120????


  2. #2
    Fayetteville, NC
    If they state gynecomastia you have no choice but to use 19300. When our doctor states removal of a breast mass from a male then we use 19120.
    I base the code in this type of case on the diagnosis I am given.
    And yes we too get denials when it is gynecomastia with no pain.

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