AHA Coding Clinic® for HCPCS - 2017 Issue 1; Ask the Editor

Excision of breast capsule

Patient with a history of breast cancer and bilateral mastectomies and reconstruction presents for excision of the left breast capsule and aspiration of seroma/fluid on the right side. However, the patient had the tissue expanders and the implants removed on a previous visit. The capsule within the open wound on the left side was excised completely and closed with suture.  On the right side a needle was utilized to drain serous fluid from the pocket. The patient tolerated the procedure well. Would CPT code 19371 be the appropriate code to assign for the excision of the breast capsule where no expanders or implants are in place? ...

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