AMA CPT® Assistant - 2019 Issue 8 (August)

Frequently Asked Questions (August 2019)

August 2019 page 10 Frequently Asked Questions Surgery: Integumentary System Question: What Current Procedural Terminology (CPT®) code should be reported when a surgeon implants a synthetic graft mesh for soft-tissue reinforcement into the post-mastectomy surgical site? The implant is neither a human dermis nor a xenograft. Answer: Currently, there is no specific code that describes the implantation of a nonbiologic mesh into the post-mastectomy surgical site. Therefore, code 19499, Unlisted procedure, breast, should be reported for this procedure. When reporting an unlisted code to describe a procedure or service, it is necessary to submit supporting documentation (eg, procedure...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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