Outpatient Surgery Magazine

Post Your Prices Online - September 2013 - Outpatient Surgery Magazine - Subscribe

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://magazine.outpatientsurgery.net/i/168873

Contents of this Issue

Navigation

Page 31 of 154

OSE_1309_part1_Layout 1 9/6/13 12:31 PM Page 32 CODING & BILLING Denis Rodriguez, CPC-H Inside Breast Reconstructions and Revisions Your guide to getting reimbursed for breast surgery. B reast surgery can be a challenge to code. Some payers, for example, won't cover reconstructive procedures on prior breast augmentations, while others will cover the reconstructive procedures, but not the implant replacement. Here's the latest on recent coding clarifications, as well as important details regarding implants and payer considerations. Medicare Reimbursement for Breast Surgery As the field of breast reconstruction and revisional surgery has evolved, so, too, have breast surgery CPT codes in both their purpose and intent. Procedure Autologous fat transfer 19366 $1,379.81 $2,458.99 0029 Yes Tissue expanders 19357 $3,565,14 $4,562.00 0648 Yes Soft tissue reinforcement 15777 $623.76 Replacement of tissue expander with permanent prosthesis 11970 $1,928.93 $3,437.59 0051 Yes Revision of reconstructed breast 19380 $1,815.79 $3,235.96 0030 Yes Nipple/areola reconstruction 3 2 CPT Code ASC OPPS APC Multiple Discount 19350 $1,045.25 $1,862.77 0028 Yes $1,111.61 0136 Yes O U T PAT I E N T S U R G E R Y M A G A Z I N E O N L I N E | S E P T E M B E R 2013 4 C

Articles in this issue

Archives of this issue

view archives of Outpatient Surgery Magazine - Post Your Prices Online - September 2013 - Outpatient Surgery Magazine - Subscribe