AHA Coding Clinic® for HCPCS - 2022 Issue 4; Ask the Editor

Mastopexy using Renuvion and Vaser

A patient with a history of lumpectomy for breast cancer presents now for a left minimally invasive mastopexy. Small stab incisions were marked on the left breast at the 12 o’clock position of the areola and along the superior lateral most aspect of the lumpectomy scar in the upper outer quadrant. A total of 500mL of tumescent was injected circumferentially into the left breast followed by 4 minutes of superficial treatment with the liposuction probe. No deep treatment or aspiration was done to the area as no resection was being undertaken. A probe emitting helium plasma and radiofrequency energy was calibrated and 6 passes were performed circumferentially to deliver 13.9 kilojoules of energy over the area to create the breast lift. CPT code 19316, Mastopexy, does not seem appropriate for this case, since this was not an open procedure. Code 15877, Suction assisted lipectomy; trunk, does not seem appropriate either since the surgeon states there was no aspiration or resection. How is this left mastopexy reported? ...

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