AHA Coding Clinic® for HCPCS - 2017 Issue 3; Ask the Editor

Chest reconstruction after bilateral mastectomies

A patient with history of breast cancer and bilateral mastectomies opted out of reconstruction and is now being seen at our facility for chest reconstruction due to contour issues of her chest with indented painful scars and redundant skin at the mastectomy sites. The areas of redundant skin and scar tissue measure 22 cm x 4 cm on the right and 20 cm x 5 cm on the left. These were excised down to the subcutaneous fat overlying the pectoralis major muscle. Skin flaps were elevated from the upper abdomen allowing for advancement on the right and left chest and the skin was closed via staples.  The fat from the abdomen and flanks was harvested and placed in syringes for the administration of fat to the areas of defect. Once the fat was administered, the incisions were closed. The previous mastectomy scars were treated. The right chest scar was injected with 0.4 cc of Kenalog and the left chest scar was excised (full thickness) and also injected with Kenalog. All incisions were closed. Our facility wants to report CPT codes 13100 and 13102 x 7 due to the scar revision, 19366 for the fat grafting, 11900 for the Kenalog injections. Are these the correct codes? ...

To read the full article, sign in and subscribe to the AHA Coding Clinic® for HCPCS.


The AHA Coding Clinic for HCPCS includes:

  • The official publication for Level I HCPCS (CPT-4 codes) for hospital providers
  • Also specific Level II HCPCS codes for hospitals, physicians and other health professionals
  • Current newsletters added each quarter
  • Full Archives back to 2001
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information page link back to related articles
  • View all the articles associated with any code, right from the code page!
Access to this feature is available in the following products:
  • AHA's Coding Clinic® - HCPCS +Archives

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.