AAPC - Back to school
Results 1 to 2 of 2

Thread: Oncoplasty at time of partial mastectomy

  1. #1

    Default Oncoplasty at time of partial mastectomy

    AAPC: Back to School
    I'm new to coding breast procedures. Have a general surgeon doing partial mastectomy and also oncoplasty/resonstruction during same op sessions. OP notes reads as follows after the partial mastectomy. "The flaps were raised superiorly of the breast tissue and fat tissue off the pectoralis major fascia superiorly, medially, laterally and inferiorly up to the breast margin." Doesn't seem like this supports using CPT CPT 19364. Any suggestions on this procedure?

  2. #2
    Join Date
    Apr 2007


    19364 is not your code, its for free flaps, big money!

    The physician excises a free flap of skin, fat, and muscle from another site on the patient for use in the reconstruction of the breast following a modified radical or radical mastectomy. The free flap is excised with careful dissection of vascular channels, commonly from the thigh or buttocks, and the operative wound is sutured in a layered repair. In preparation for the graft, the mastectomy scar is excised with blood vessels preserved. The free flap is transferred to the mastectomy site and microvascular anastomosis is done to provide the graft with a viable blood supply. The physician adjusts the flap for the most aesthetic appearance and secures it with sutures to the chest wall, adjacent muscles, and skin. If the free flap does not have sufficient fat, a breast implant may be required. The chest incision is repaired with sutures

    your code is 19301, normal repair is included unless he puts in a tissue expander of some sort.

Similar Threads

  1. Partial Mastectomy Question
    By mmelcam in forum General Surgery
    Replies: 4
    Last Post: 11-16-2011, 11:55 AM
  2. Complete mastectomy following partial
    By AMBarber in forum General Surgery
    Replies: 1
    Last Post: 07-14-2011, 02:29 PM
  3. Partial mastectomy???
    By lindacoder in forum General Surgery
    Replies: 1
    Last Post: 04-26-2011, 11:59 AM
  4. Partial mastectomy / Fluoro
    By MCook in forum General Surgery
    Replies: 1
    Last Post: 02-02-2010, 10:19 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?


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.