A CPT Assistant newsletter states “A capsulectomy (CPT code 19371) involves removal of the capsule. The implant is also removed and may or may not be replaced.” Therefore, CPT 19370 (capsulotomy) is included in
19328
when performed to remove the implant.
How do you bill removed implants?
Removal of a Finger or Hand Implant should be billed with the
26320 CPT code
. However, if only one or two screws are removed and it is not an extensive procedure, use the applicable 20670 or 20680 code. Removal of an Implant from the Elbow or Radial Head should be billed with codes 24160-24164.
What does CPT code 19328 include?
CPT® Code 19328 –
Repair and/or Reconstruction Procedures on the Breast
– Codify by AAPC.
What is included in CPT 19371?
CPT 19371 is for a complete capsulectomy and includes
the removal of all intra-capsular contents
. It cannot be reported with CPT 19328and 19370; however, 19342 can be separately reported for replacement of a new implant.
What does CPT code 19366 include?
CPT® Code 19366 –
Repair and/or Reconstruction Procedures on the Breast
– Codify by AAPC.
What is a 78 modifier?
CPT Modifier 78. Description:
Unplanned return to the operating room by the same physician following initial procedure for a related procedure during the postoperative period
.
What is procedure code 20670?
Use code 20670 for
superficial pin removal
when the physician makes a small incision overlying the site of the implant, and the physician removes the implant by pulling or unscrewing it. The incision is closed with sutures/steri-strips (no layered closure is involved).
What does CPT code 11971 include?
Answer: The CPT code for removing a tissue expander in the office is the same as it is if the TE was removed in the hospital – the physician reports 11971 (
Removal of tissue expander(s) without insertion of prosthesis
).
What does CPT code 19350 include?
19350 is the global code for
nipple-areolar reconstruction
. It includes the formation of the nipple mound by any of the various flap methods, as well as the creation of the areola with a skin graft. performed.
What does CPT code 19316 include?
CPT® 19316 in section:
Repair and/or Reconstruction Procedures on the Breast
.
What is the primary code for CPT 15777?
Code +15777 applies specifically for placement of
a biologic implant
(such as acellular dermal matrix) for soft tissue reinforcement or to correct a soft tissue defect (for instance, in the breast or trunk) caused by trauma or surgery.
Does CPT code 19342 include Capsulectomy?
*complete, considerable, or extensive capsulectomy
Using code 19342
will account for the additional work performed by the surgeon
. A separate code is not assigned for the capsulectomy or capsulotomy. Code 11970 would not be assigned as this would be included in code 19342.
What replaced CPT 19366?
You're right – CPT 19366 (Breast reconstruction with other technique) was deleted this year. You will code for whatever procedure you end up doing such as an adjacent tissue transfer (e.g., 14xxx), breast reduction (
19318
), or mastopexy (19316).
What is a 77 modifier?
Description. CPT modifier 77 is used to
report a repeat procedure by another physician
. Guidelines and Instructions. Submit this modifier to indicate that a basic procedure or service performed by another physician had to be repeated.
What is a 74 modifier?
Modifier -74 is used by the facility to indicate that a
surgical or diagnostic procedure requiring anesthesia was terminated after the induction of anesthesia
or after the procedure was started (e.g., incision made, intubation started, scope inserted) due to extenuating circumstances or circumstances that threatened …
What is a 57 modifier?
Modifier 57 Decision for Surgery: add Modifier 57 to the appropriate level of E/M service provided on the day before or day of surgery, in which the initial decision is
made to perform major surgery
. Major surgery includes all surgical procedures assigned a 90-day global surgery period.
