Results 1 to 2 of 2

breast reduction with lipo of the axilla

  1. Default breast reduction with lipo of the axilla
    Medical Coding Books
    I am in need of a specific site if someone has one. I have a surgeon who is charging patients separately for liposuction of the axilla done in conjunction with an insurance covered breast reduction. I have told him it is considered part of the insurance covered breast reduction but he maintains it's considered separate since it is lipo of the trunk. I maintain it is not since he is performing liposuction of the tail of spence for a smoother appearance. Can anyone point me in the direction of a site or anything to resolve this discrepancy? I am on the facilty side and of course we do not bill for it, but he is billing for it professionally and it is creating a problem. (the patients are questioning why they have to pay the surgeon and the facility is stating it is part of the insurance payment received)

    Thanks for your assistance!

  2. #2
    Coastal Coders
    From everything I can find it seems to be up to the surgeon. Some consider it part of the surgery others deem it an additional procedure. The surgeon should explain to the patient before the surgery that this is not covered by insurance as cosmetic.

Similar Threads

  1. breast reduction with lipo
    By schofielda in forum Plastic Surgery
    Replies: 0
    Last Post: 10-23-2014, 11:55 AM
  2. Breast reduction with Lipo
    By HCenters in forum Plastic Surgery
    Replies: 1
    Last Post: 03-10-2014, 02:00 PM
  3. Right axilla nodule with accessory breast tissue
    By CCARRIE in forum General Surgery
    Replies: 0
    Last Post: 04-17-2010, 06:36 PM
  4. Breast Cancer in chest wall and axilla
    By HILLIC in forum General Surgery
    Replies: 2
    Last Post: 02-18-2010, 07:26 AM
  5. Axillary lipo with breast reduction
    By tgutierrez in forum Outpatient Facilities
    Replies: 1
    Last Post: 08-25-2009, 03:07 PM

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.