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revision of reconstructed breast

  1. #1
    Default revision of reconstructed breast
    Medical Coding Books
    Doctor did revision of reconstruction breast with removal of tissue expander,
    capsulectomy and placement of permanent implant.
    I find CPT 19371 and 19380, but CPT 11971-Removal of tissue expander without insertion of prosthesis.
    Is another code for removal of breast tissue expander or is it included in
    CPT 19371 AND 19380 ? Thanks.

  2. Default
    Quote Originally Posted by dbykov View Post
    Doctor did revision of reconstruction breast with removal of tissue expander,
    capsulectomy and placement of permanent implant.
    I find CPT 19371 and 19380, but CPT 11971-Removal of tissue expander without insertion of prosthesis.
    Is another code for removal of breast tissue expander or is it included in
    CPT 19371 AND 19380 ? Thanks.
    Reply-
    Coding 19380 is appropriate.

  3. #3
    Location
    Milwaukee WI
    Posts
    4,466
    Default Not 11971
    The description of CPT 11971 gives you the answer ... "without insertion of prosthesis." Your implant is the prosthesis in this case. So you would NOT use this code in thei scenario.

    F Tessa Bartels, CPC

  4. #4
    Location
    #32933 Melbourne, FL
    Posts
    14
    Thumbs up Breast Tissue Expanders
    Thank you for having this question on the site. A patient is going to have
    her tissue expanders removed, and replaced with pernament implants.
    And this question led me to the 11970. The breast code series 19000's
    lacks real specifics for the amount of breast procedures done now.
    Thank again, Mashlady1
    Last edited by Mashlady1; 06-23-2010 at 02:30 PM.

  5. #5
    Location
    New Port Richey & Gulf to Bay
    Posts
    107
    Default Agreed!
    I couldn't agree any more with you. The AMA needs to make adjustments to the breast reconstruction codes. We need more specific codes or more information in which the current codes cover. I have been working in the ASC setting for one year now, and these cases (revision of breast reconstruction) still can stump me!

  6. #6
    Default Question 11971
    If 11971 was performed bilaterally can we list code more than once. It is unclear. I do see expander(s). I do want to code correctly. Anybody have any insight?

    Dr. removed bilateral tissue expanders without insertion of breast implants.

    Thank you,

    Kimberly Hollins, CPC, CPRC

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