AMA CPT® Assistant - 2019 Issue 12 (December)
Breast and Chest Wall Procedures (December 2019)
December 2019 page 4 Breast and Chest Wall Procedures The 2020 Current Procedural Terminology (CPT®) code set has significant changes in the Integumentary System/Breast subsection. The Incision and Excision subheadings have been deleted; code 19304 has been deleted; and chest wall procedure codes 19260, 19271, and 19272 have been renumbered and relocated in the CPT code set. In addition, new introductory guidelines and definitions have been added to the Breast subsection. This article provides information about these changes. Deletion of CPT Code 19304 In 2017, the CPT Assistant Editorial Board requested clarification for coding nipple- and skin-sparing mastectomy...
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Article Overview
This CPT-focused article explains a set of 2020 updates affecting breast and chest wall procedure reporting. It is relevant for coders, auditors, and billing staff working with breast surgery, biopsy, mastectomy, and chest wall excision documentation. The article covers structural changes to the CPT Breast subsection, relocation of certain chest wall procedure codes, revision of breast biopsy and localization guidance, and added introductory material for mastectomy procedures.
Why This Topic Matters
These changes affect how common breast and chest wall services are organized within CPT and may influence code lookup, documentation review, and claim preparation. The article helps readers understand the scope of the 2020 revision so they can navigate the updated code set accurately.
Article Sections
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December 2019 page 4
Introductory placement and overview of the CPT Breast and Chest Wall Procedures update for the 2020 code set.
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Deletion of CPT Code 19304
Discussion of the CPT update involving removal of a breast procedure code and the surrounding context for the change.
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Procedure Codes for Chest Wall Relocation
Overview of chest wall procedure code relocation and renumbering within the CPT code set, including related cross-reference updates.
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Excision
Presentation of relocated chest wall excision procedure codes and a note about related code reporting relationships.
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New Guidelines
Summary of revised breast subsection guidance covering biopsy-related procedures, breast localization device placement, bilateral procedure reporting, and updated mastectomy introductory text.
What You Will Learn
- What types of CPT breast and chest wall changes were made for 2020.
- Which areas of the Breast subsection were revised or reorganized.
- What categories of procedure guidance were updated in the breast biopsy, localization, and mastectomy areas.
- How the article frames the relationship between relocated chest wall procedures and the broader CPT structure.
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Revenue cycle teams
- Surgical documentation specialists
Codes Discussed
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