I think 30580 for this but what about the flaps? I am not sure that is included in the surgery and if not what code to use. None of them really match up? DIAGNOSIS: Palatal fistula History of Jaw surgery POSTOP DIAGNOSIS: Palatal fistula History of Jaw surgery ESTIMATED BLOOD LOSS: N/A SPECIMENS REMOVED: N/A PROCEDURE: This woman is known to us. We planned the above-mentioned procedures, consented, brought the OR, laid supine on the table, induced under anesthesia, prepped and draped in the... Read more ..read more

Hi! We have a surgeon that needs to do a scar revision from a bilateral mastectomy. Would the scar revision be coded 13101 and 13102 or is there a different code that should be used? Thanks ..read more

Hi everyone! Help needed please!! I have a surgeon who performed removal of a frontal skull bone osteoma DX D16.4 (not performed in the frontal sinus, endoscopically or intraorally). Transverse incision made over the forehead mass and excised using an osteotome and mallet and the bone was then smoothed with a rasp. Any ideas... Already looked at 21026, 21029, and saw an article that said to use 61500! Any help would be greatly appreciated! TIA ..read more

Hi everyone, I have been questioning what the correct way to code this type of surgery. Provider is doing a tissue expander exchange to implants and also doing a periprosthetic capsulectomy. I know the tissue expander exchange would be 11970 and the capsulectomy is 19371, but there is a CCI edit. Would it be appropriate to use modifier 59 on the 11970? Removal left tissue expander Left periprosthetic capsulectomy Placement of left breast form stable cohesive gel silicone implant... Read more ..read more

What CPT code is used for medial spindle for lower eyelid for senile ectropion ..read more

I need help coding this: Needle Aspiration of Fat Necrosis of Breast - not sent to pathology. No USG guidance ..read more

Hello, I have a patient that had a previous left Lumpectomy and sentinel node biopsy with positive sentinel nodes... At the time of surgery the axillary area was unable to be fully dissected. Because of the high grade tumor she had chemotherapy to manage the axillary tissue... She ended up having an area of infection in the lumpectomy site from the chemo..this finally resolved and she competed her chemo Now she needs a full axillary dissection. Surgery was performed on 06/09/22 and chemo... Read more ..read more

I need help to determine the correct CPT code. Patient had breast implant removal and breast reduction in January 2022. (Implants were cosmetic 20+ years ago - not Cancer related) She is scheduled for Scar Release & Revision. Is this coded as Complex Closure 13xxx or Breast Recon 19380? Thanks in advance ..read more

Hi, I need some guidance on correctly coding for removal of Intact Breast Implants and Re-implantation of the same implant. Patient was having breast discomfort and elected to have implants removed. Her thought was they were punctured. Here is the Op report: Each side was approached in identical fashion as follows. Her prior primary crease scar were sharply excised with a 10 blade. Dissection proceeded with cautery through the underlying soft tissued until the implant capsule was reached... Read more ..read more

pt had TE placed on separate day of mastectomy. Months later provider is now doing TE exchange to perm implant. Provider wants to submit 19380 RT / 19342 RT / 11970 RT / 15771/ 15772 x3. My opinion is we should only be submitting 11970 RT / 15771 / 15772 x3. Would appreciate thoughts please. tia!! Procedure(s): RIGHT BREAST EXPANDER EXCHANGE TO IMPLANT AND BIALTERAL BREAST FAT GRAFTING: Attention was then turned to RT breast. Incision was made through the previous... Read more ..read more