Coding Clarification: Reporting Breast Augmentation with Implant (19325)

October 2025 page 8 Coding Clarification: Reporting Breast Augmentation with Implant (19325) In the CPT 2025 code set, code 19325 represents a surgical procedure in which a silicone- or saline-filled breast implant is placed underneath the native breast gland to increase breast volume. Although frequently performed as an elective aesthetic procedure, breast augmentation with an implant is also performed as a symmetry procedure for patients with contralateral breast cancer or congenital anomalies of breast development. This coding clarification provides an overview of the intent and appropriate reporting of code 19325. Repair and/or Reconstruction 19325 Breast augmentation with implant (For...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains the scope and reporting context for a CPT 2025 breast augmentation procedure and compares it with other breast implant and reconstruction-related procedures. It is intended for coding professionals, auditors, and clinicians who need to understand how the guidance distinguishes among implant placement situations, capsule work, and associated soft tissue revisions. The article also references related CPT guidance and parenthetical notes relevant to reporting in repair and reconstruction cases.

Why This Topic Matters

Accurate reporting of breast implant procedures depends on understanding when the primary augmentation code applies versus when other breast reconstruction or revision codes are more appropriate. This clarification helps reduce coding ambiguity in cases involving prior augmentation, mastectomy history, capsule revision, and concurrent soft tissue work.

Article Sections

  1. Coding Clarification: Reporting Breast Augmentation with Implant (19325)

    Overview of the coding clarification and the general clinical situations addressed. Introduces the procedure context and the purpose of the article.

  2. Repair and/or Reconstruction

    Discusses the broader repair and reconstruction context for breast implant procedures and related reporting considerations. Covers distinctions among implant placement scenarios and associated guidance.

  3. Peri-implant capsule and related revisions

    Addresses capsule-related work around breast implants and how it fits within the coding framework. Includes discussion of capsule revision, capsulectomy, and related reporting context.

  4. Soft tissue and skin revisions

    Covers limited soft tissue and skin revision scenarios associated with breast augmentation. Discusses how these revisions are framed within the article’s reporting guidance.

What You Will Learn

  • The clinical scope of a breast augmentation with implant coding clarification
  • How the article frames related implant placement scenarios in broader repair and reconstruction contexts
  • What categories of capsule work and soft tissue revision are discussed alongside the primary procedure
  • Which related CPT guidance topics are referenced for additional context

Who Should Read This

  • Medical coders
  • Coding auditors
  • Biller/reimbursement staff
  • Plastic and reconstructive surgery practices
  • Clinical documentation improvement professionals

Codes Discussed


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