Does Cpt 11970 Include Capsulotomy?
The exchange of the tissue expander for a permanent implant requires a capsulotomy so the only code for that procedure is 11970 (not 19340, 19370, 19380). The fat grafting may be separately reported using 20926 which includes the harvest and placement/injection of the fat into the defect.

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In this regard, what does CPT code 19380 include?

Answer: CPT code 19380, Revision of reconstructed breast involves revising an already reconstructed breast. The code includes repositioning the breast; making adjustments to the inframammary crease; making capsular adjustments; and performing scar revisions, fat grafting, liposuction, and so on.

One may also ask, what is the difference between capsulotomy and Capsulectomy? If a woman decides to have surgery for larger implants, capsulotomies are performed to increase the dimensions of the pocket to accommodate the larger size (usually in the superior medial aspect of the pocket where most of us desire optimal fullness). Capsulectomy means removing part or the entire capsule.

In this way, what does CPT code 19342 include?

CPT 19342, Under Repair and/or Reconstruction Procedures on the Breast. The Current Procedural Terminology (CPT) code 19342 as maintained by American Medical Association, is a medical procedural code under the range - Repair and/or Reconstruction Procedures on the Breast.

Does Capsulectomy include implant removal?

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.

Related Question Answers

What is procedure code 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.

What is procedure code 15839?

CPT 15839, Under Other Repair (Closure) Procedures on the Integumentary System. The Current Procedural Terminology (CPT) code 15839 as maintained by American Medical Association, is a medical procedural code under the range - Other Repair (Closure) Procedures on the Integumentary System.
James H. Sterling

James H. Sterling

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James Sterling reports on renewable energy developments, climate policy, ecological conservation, and green tech innovations around the globe.