AHA Coding Clinic® for HCPCS - 2012 Issue 1; ASK the EDITOR
Suction Assisted Lipectomy of Breast
We are getting conflicting information regarding the coding and reporting of a suction assisted lipectomy (SAL) of the breast with a breast reduction. At our facility, we have always considered a suction assisted lipectomy (SAL) of the breast area to be included in CPT code 19318, Reduction mammaplasty, and not separately reported. Recently, we were instructed that the SAL could be separately reported. Can you clarify whether this information is correct and whether the breast reduction includes the lateral breast tissue (up to and including the axillary tail of the breast into the axilla)? ...
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Article Overview
This coding article discusses how suction assisted lipectomy of the breast is addressed in the context of breast reduction reporting under CPT guidance. It is intended for coders, billers, and clinical documentation staff who need to understand the scope of the reporting discussion and the types of procedural questions raised in breast surgery coding. The article focuses on coding interpretation for a common surgical scenario and on whether tissue removed from the lateral breast and axillary tail region is considered within the broader breast reduction service.
Why This Topic Matters
Breast reduction coding can be affected by how adjacent breast tissue and liposuction components are documented and reported. Understanding the article helps coding professionals assess whether the topic applies to their surgical cases and documentation workflows.
What You Will Learn
- The coding topic addressed by the article
- How the article frames reporting questions for breast reduction cases
- The general surgical context involving suction assisted lipectomy of the breast
- The scope of guidance discussion related to adjacent breast tissue
Who Should Read This
- Medical coders
- Biller/reimbursement staff
- Physician documentation specialists
- Surgical coding reviewers
Codes Discussed
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