CPT Knowledgebase - Apr 24, 2017

Patient presents status post mastectomy. Left implant is ruptured and material removed and a capsulectomy is performed. A DIEP free flap along with the surrounding fat and superficial inguinal/inferior abdominal lymph nodes was dissected. The right DIEP flap with vascularized lymph nodes was elevated and transferred to the left chest for anastomosis. How would you recommend coding for the dissection of the lymph nodes as part of the free flap?

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