AHA Coding Clinic® for HCPCS - 2020 Issue 3; Ask the Editor

Tissue expander replacement

A patient who is one month post delayed breast reconstruction, tripped and fell resulting in dehiscence of her right breast incision and exposure of her tissue expander. She presents for washout and replacement of the tissue expander. The dehisced skin edges were excised, previous sutures released, the tissue expander was removed from the pocket and the pocket was irrigated. The pocket had to be additionally dissected in order to accommodate the increased height of the replacement expander. All air was removed from the expander and it was placed into the pocket. What are the correct code (s) for the replacement of a tissue expander? ...

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