AMA CPT® Assistant - 2011 Issue 12 (December)

Surgery: Integumentary System (Q&A) (December 2011)

December 2011 page 14 Surgery: Integumentary System Question 1: Should code 19364, Breast reconstruction with free flap, be used to report the performance of a deep inferior epigastric perforator flap (DIEP) for breast reconstruction? Michele A. Wrightson, CCS-P Answer 1: Yes. Code 19364, Breast reconstruction with free flap, is the appropriate code to report free flap breast reconstruction, regardless of the specific free flap used. It may be a free transverse rectus abdominis myocutaneous (TRAM), a free DIEP, or a gluteal free flap. Code 19364 is not limited to a particular type of free flap, and it is the...

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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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