Integumentary, 15200, 19350 (Q&A) (August 1996)

August 1996 page 11 Coding Consultation Integumentary, 15200, 19350 (Q&A) Question When a reduction mammaplasty is performed should I code the removal and grafting of the nipple/areolar complex separately? AMA Comment Because grafting or reconstruction of the nipple/areolar complex is not routinely part of a reduction mammaplasty, this service is coded in addition to the mammaplasty. To report this service, use either code 19350 or 15200 with the -51 modifier, depending on the procedure performed. Integumentary, 15200, 19350 (Q&A). CPT® Assistant. 1996; August 1996 page 11 ...

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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 short AMA CPT Assistant Q&A addresses integumentary coding guidance for a breast surgery scenario and explains the general reporting relationship between a mammaplasty procedure and an additional grafting or reconstruction service. It is intended for coders, billers, and reimbursement staff who need to determine whether a separate service should be considered alongside the primary procedure. The article is limited to a narrow coding question and references CPT terminology and a modifier.

Why This Topic Matters

It helps coding professionals recognize when a related service may be reported separately in the context of a reconstructive breast procedure, reducing the risk of incomplete or inconsistent claim reporting.

What You Will Learn

  • The article’s coding topic and clinical context
  • How the discussion relates a primary breast procedure to an additional reconstructive service
  • Which CPT-related identifiers are mentioned in the consultation
  • The role of modifier reporting in this Q&A context

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing staff
  • Revenue cycle teams
  • Plastic surgery and general surgery practices

Codes Discussed

Modifiers Discussed


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