AHA Coding Clinic® for HCPCS - 2021 Issue 2; Ask the Editor

Flap revision

A patient who underwent bilateral pre-pectoral reconstruction following mastectomy, utilizing Wise pattern skin resection, is experiencing drainage from the drain exit site on the left breast postoperatively. The nonviable tissue was excised and the Wise pattern was re-elevated over a 20x20 cm region. The drain was removed prior to surgical prep. The wound was irrigated with an antibiotic solution and a new drain was inserted and secured with sutures. The lateral and medial skin flaps were advanced and sewn into place to re-approximate the deep dermis. Attention was directed to the right breast. The same was performed on the right side, except the flap advancement was not performed. Is it correct to report CPT code 19380 for the flap advancement post pre-pectoral reconstruction. ...

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