Frequently Asked Questions (November 2019)

November 2019 page 14 Frequently Asked Questions Surgery/Integumentary System Question: Is the placement of abdominal wall mesh reinforcement reportable with code 19364—free myocutaneous flaps with microvascular anastomosis breast reconstruction—(ie, deep inferior epigastric artery perforator [DIEP], free transverse rectus abdominis [TRAM])? Answer: The placement of reinforcing mesh in the abdominal donor site is not included in the work of code 19364, Breast reconstruction with free flap. The use of a biologic mesh in closure of the abdominal wall donor site is reported with add-on code 15777, Implantation of biologic implant (eg, acellular dermal matrix) for soft tissue reinforcement (ie, breast...

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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 reviews a set of coding questions and answers from CPT Assistant covering surgery, musculoskeletal, respiratory, and nervous system scenarios. It is aimed at coders, billers, and clinicians who need to understand the general scope of reporting guidance discussed for breast reconstruction, abdominal wall mesh, arthroscopy, nasal procedures, spinal procedures, nerve blocks, and related surgical services.

Why This Topic Matters

The article helps readers gauge whether the full FAQ content is relevant to cases involving post-operative revisions, flap reconstruction, image-guided pain procedures, and other multi-system coding situations. It is useful for professionals following CPT guidance and payer-sensitive reporting considerations.

Article Sections

  1. November 2019 page 14

    Introductory page reference and the start of the FAQ content for this CPT Assistant issue.

  2. Surgery/Integumentary System

    Questions and answers related to breast reconstruction, donor-site reinforcement, and revision scenarios in the integumentary system.

  3. Surgery/Musculoskeletal System

    Questions and answers covering ligament reconstruction, arthroscopy reporting, modifier use, and laterality considerations in musculoskeletal procedures.

  4. Surgery/Respiratory System

    Questions and answers addressing intranasal procedures, lesion treatment, and reporting for related respiratory system services.

  5. Surgery/Nervous System

    Questions and answers covering spinal decompression, image-guided nerve injections, and pain-related procedures in the nervous system section.

What You Will Learn

  • How the FAQ article is organized by surgical specialty area.
  • Which broad coding topics are discussed for reconstruction, arthroscopy, nasal procedures, spine surgery, and nerve interventions.
  • What kinds of reporting questions are addressed in relation to revisions, laterality, image guidance, and payer considerations.
  • How the article frames common CPT Assistant questions without replacing the full guidance.

Who Should Read This

  • Medical coders
  • Coding auditors
  • Physician billing staff
  • Clinical documentation staff
  • Reimbursement professionals

Codes Discussed

Code Ranges Discussed

Modifiers Discussed


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