AMA CPT® Assistant - 2019 Issue 11 (November)

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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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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