CPT® 2020: Clarify AFG Breast Reconstruction

Why This Topic Matters

Accurate reporting of breast autologous fat grafting depends on using the current CPT structure and avoiding conflicting or obsolete code choices. The article helps coders and billers recognize the scope of the update and assess whether payer policy may affect reimbursement.

Article Sections

1. Add and Subtract AFG Codes

   Introduces the CPT 2020 coding update for autologous fat grafting in breast reconstruction and revision. It also notes the replacement of an older, broader option with more specific CPT reporting choices.

2. Don't Double Dip With Other Codes

   Reviews related procedure categories that should be considered alongside the updated CPT framework. The section focuses on avoiding overlap with other breast and suction lipectomy code families.

3. Beware Coverage Rules

   Summarizes the need to verify payer coverage for autologous fat grafting in breast reconstruction or revision. It also references professional society coverage commentary and the general circumstances discussed in that guidance.