CPT Knowledgebase - Sep 9, 2021

May code 19380 (revision of reconstructed breast) be reported with code 11970 (replacement of tissue expander with permanent implant)? Physicians or other QHPs often perform extensive revisions to skin and capsules during this stage of implant reconstruction to reduce the number of revisional surgeries for breast reconstruction patients. Is it correct that code 19380 may only be reported with code 11970 when revisions are performed after the final implant is in place, based on how reconstructed breast is interpreted in the CPT 2021 code set?

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