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DX for cosmetic breast implants

  1. #1
    Default DX for cosmetic breast implants
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    Doctor is using hypomastia as the diagnosis for what appears to be breast implants for cosmetic purposes (this is a self-pay acct). The only dx code that comes up for hypomastia is a congenital disorder, 757.6. I'm leaning towards 611.8. Any other opinions would be welcome.

  2. #2
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    Default It's not acquired
    Not my area of expertise ... but
    The patient's condition isn't acquired - there was no trauma or disease.
    So I would not be inclined to code it as a "disorder" of the breast.
    I vote for hypomastia - 757.6 Dx code.
    F Tessa Bartels CPC

  3. Arrow
    Quote Originally Posted by FTessaBartels View Post
    Not my area of expertise ... but
    The patient's condition isn't acquired - there was no trauma or disease.
    So I would not be inclined to code it as a "disorder" of the breast.
    I vote for hypomastia - 757.6 Dx code.
    F Tessa Bartels CPC
    I would prefer to use 611.8 and V50.1 both together. Surgeon should specify that it is a congenital hypomastia otherwise "if not documented not done" policy applies.

    Thank You
    Amit Joshi MSc,CPC,CPC-H

  4. #4
    Default
    THanks for your responses. I think the doctor is the only one who can resolve. I'm going to send a query asking for clarification. Thanks again.

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