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dx code for evaluation of a silicone implant

  1. #1
    Question dx code for evaluation of a silicone implant
    Medical Coding Books
    Does anyone know what would be used as a diagnosis code for a patient that has a MRI of the breast to evaluate a rupture of the silicone implant? Is there a routine screening code for evaluation of an implant rupture at all? As far as I know, I can't find one. Please help me.

    thanks!

    -Dena

  2. #2
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    Quote Originally Posted by denamfailla View Post
    Does anyone know what would be used as a diagnosis code for a patient that has a MRI of the breast to evaluate a rupture of the silicone implant? Is there a routine screening code for evaluation of an implant rupture at all? As far as I know, I can't find one. Please help me.

    thanks!

    -Dena
    If it is truly a screening you can use V76.19 Other screening breast examination. Are there symptoms that lead you to believe there may have been a rupture? I would code symptoms first and the V76.19 second.
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

  3. #3
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    This is a tough one. I would use code 61189 disorder of breast and V82.89 special screening for other conditions.

  4. #4
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    It is not a screening at all if there has in fact been a rupture or symptoms that lead to think there is a rupture. I would look carefully at the complication codes. It is not a disorder of the breast because the implant is inorganic and not part of the breast tissue. It is however a complication of an implant and there are codes for this.

    Debra A. Mitchell, MSPH, CPC-H

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