Breast Repair and/or Reconstruction: Changes for 2021 (April 2021)

Why This Topic Matters

The changes affect how breast repair and reconstruction services are categorized and reported in CPT 2021, making the article important for accurate coding, compliant documentation review, and understanding how the revised guidance organizes related procedures.

Article Sections

1. Introduction

   Introduces the scope of the 2021 CPT updates and summarizes the broad areas affected in breast repair and reconstruction.

2. Repair and/or Reconstruction

   Reviews revised breast repair and reconstruction code reporting topics, including implants, expanders, flap reconstruction, and capsule-related procedures.

3. New Introductory Guidelines

   Summarizes the new introductory guidance for breast reconstruction and how the subsection is organized conceptually.

4. Understanding the Revised Codes

   Provides an overview of the revised breast repair and reconstruction codes and their related instructional notes.

5. Flap Reconstruction

   Discusses coding changes and guidance related to flap-based breast reconstruction and associated reconstructive components.

6. Revision of Peri-Implant Breast Capsule

   Covers the updated guidance for peri-implant capsule revision and related reporting considerations.

7. Complete Capsulectomy

   Addresses the revised complete capsulectomy guidance and its relationship to other breast reconstruction procedures.

8. Reconstructed Breast Revision

   Summarizes guidance for revisions to an already reconstructed breast and related procedure groupings.