AMA CPT® Assistant - 2015 Issue 12 (December)
Surgery: Integumentary System (Bonus Q&A) (December 2015)
December 2015 page 18b Surgery: Integumentary System Question: What procedures are included in CPT code 19380, {{Revision of reconstructed breast}}, and what can be separately reported? Answer: In general, reporting CPT code 19380 is rather straightforward. After a breast has been reconstructed, revision may be required. For example, if a woman who has undergone a unipedicled transverse rectus abdominis myocutaneous flap (TRAM) for breast reconstruction presents with superolateral skin redundancy, the revision procedure to excise the redundant skin to achieve symmetry to the contralateral breast is reported with code 19380. In addition, code 19380 should only be reported once...
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Article Overview
This premium Q&A reviews coding guidance for post-reconstruction breast revision in the integumentary surgery section. It is relevant to coders, billers, and clinical documentation teams who work with breast reconstruction follow-up procedures and need to understand how the article frames the relationship between a general revision code, more specific breast surgery codes, and bilateral reporting considerations.
Why This Topic Matters
Breast reconstruction follow-up procedures often involve multiple surgical maneuvers, and this article explains how the guidance addresses reporting in that setting. Understanding the scope helps readers determine whether the article addresses their case mix without exposing the full premium coding discussion.
Article Sections
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December 2015 page 18b
A short Q&A focused on integumentary system coding guidance for breast reconstruction revision procedures.
What You Will Learn
- The general scope of coding guidance for revision after breast reconstruction
- How the article distinguishes a broad revision code from more specific breast surgery codes
- The types of postoperative revision scenarios discussed in the Q&A
- When bilateral reporting considerations are mentioned
Who Should Read This
- Professional coders
- Medical billers
- Coding auditors
- Revenue cycle staff
- Clinical documentation specialists
Codes Discussed
Modifiers Discussed
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