11970

CPT^® 11970, Under Introduction or Removal Procedures on the Integumentary System

The Current Procedural Terminology (CPT^®) code 11970 as maintained by American Medical Association, is a medical procedural code under the range - Introduction or Removal Procedures on the Integumentary System.

Additional/Related Information

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Summary

The provider fits a permanent implant in the patient’s body in place of a previously placed tissue expander.

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Question about CPT Codes

CPT 11970 for the removal of tissue expanders w/replacement of perm breast implant. And, per CPT assist from September 2021 FAQ's, you may report 11970 with 19370 if extensive revisions to capsule ar... [ Read More ]

Question about CPT Codes

I have a surgery that needs billed out for Tissue expanders being removed from the Breasts and Breast implants placed. According to the 2020 CPT book it says to use the 19342 with a 50 modifier for Bi... [ Read More ]

Unbundling of CPT 19370 with 11970

Hello there anyone.... I work in Plastic Surgery and have a Mastectomy Reconstruction Coding Question; Anyone know how to unbundle CPT 19370 (Repair & Reconstruction on the Breast) with CPT 11970 ( Re... [ Read More ]

Breast Recon

11970-RT exhange of expander with implant 19370 might need a modifier(XU) for the RT capsulotomy per the CPT guidance this may be billed if revision is required for implant, extensive capular revisio... [ Read More ]

Breast Recon

Please help!! I don't why I get so confused w/ plastics & breast px's. I feel the more I look into it the more confused I get. Should I use 19380 for right breast or 11970? This is what I have now... [ Read More ]

11970 and 19370 being bundled by several insurance companies. Anyone else?

On 2nd and 3rd breast reconstruction cases, we are finding that 11970 is being bundled with the 19370. I'm seeing this with some insurance companies. Does anyone have a suggestion on how to bill diffe... [ Read More ]

breast implants

The original post was long ago, but I thought it worth updating The answer is 19342. This includes removal of the existing implant/TE and revision to the breast to accommodate and properly seat the ... [ Read More ]

Replacement of tissue expander with permanent prosthesis

[QUOTE="KBean2018, post: 446671, member: 257759"]Hello, Would I code as 11970-50 or 19342? What would I code for the implants-15777? or are they included in code? thank you Pre-op Diagnosis: histo... [ Read More ]

Replacement of tissue expander with permanent prosthesis

Hello, Would I code as 11970-50 or 19342? What would I code for the implants-15777? or are they included in code? thank you Pre-op Diagnosis: history of left breast cancer, acquired absence bilate... [ Read More ]

11970 and 19371

Hi!! Does anyone happen to know have any knowledge of correct billing for patients having capsulectomy (19371) and tissue expander to permanent implant (11970). 2017 now has 11970 bundled into 19371... [ Read More ]

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