19367

CPT^® 19367, Under Repair and/or Reconstruction Procedures on the Breast

The Current Procedural Terminology (CPT^®) code 19367 as maintained by American Medical Association, is a medical procedural code under the range - Repair and/or Reconstruction Procedures on the Breast.

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Summary

The provider artificially creates the contour of a breast by harvesting a flap of skin, fat, and transverse rectus abdominis muscle (TRAM) from the lower abdomen, leaving a small strip of vascularized tissue connected to the original site, and sutures the flap to the location of the original breast to restore cosmetic appearance following breast removal surgery or to repair a defect.

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Have a question about CPT Code 19367 ? Start a discussion here

19367 billed with 19316 same breast

[LEFT]19316(mastopexy is bundling to 19367. Per records it is being done on the same breast. I am trying to understand how or if modifier 59 on 19367 would be applicable or not? PROCEDURES PERFORMED:... [ Read More ]

TRAM FLAP-First Time Coding

Hello, I am trying to properly code a TRAM-FLAP. Would it be 19366-50 or 19367-50? Only coding for Tram Flap. thank you in advance! A low suprapubic abdominal wall incision was made followed by a... [ Read More ]

June 2015 Chapter Minutes

Ventura County (Oxnard/Camarillo) Meeting June 24, 2015 6-8PM 14 members in attendance 6 officers in attendance [U]6pm Chapter News [/U] Welcome AHA is providing free webinar coding clinics for... [ Read More ]

add on code 15777

According to EncoderPro you must code the primary procedure first: 15002 Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous ... [ Read More ]

Delay of TRAM flap

look at CPT 15600, this is the code that I use for a delayed TRAM flap. This is the first procedure that is done 7-10 prior to 19367. When you code for the 19367 make sure you use a 58 modifier ... [ Read More ]

Delay of TRAM flap

We are new to these procedures and would appreciate your input. 19367 includes reconstruction of the breast but the reconstruction is not being done at this point. Therefore how is the procedured cod... [ Read More ]

Billing Manager - use this code

Per CPT Assistant August 2005: Flaps CPT breast reconstruction codes 19361, 19364, 19367, 19368, and 19369 are global codes and include the following elements: Elevation and transfer of the flap C... [ Read More ]

Surgery on Contralateral breast

Medicare Part B Policy WPS Medicare Effective Date 04/01/1996 Revision Date 09/16/2004 Publish Date March 1996 States Affected IL MI WI MN Policy Number GSURG-032 "Indications for specific surgical pr... [ Read More ]

coding help - plastic surgeon

I code for a general surgeon and a plastic surgeon. My surgeon did a mastectomy(19303) and the plastic surgeon assisted and then did immediate breast reconstruction(19367). Do I need to bill with a... [ Read More ]

coding from path report

WORD TO THE WISE: no matter what the scenario is, instead of saying you 'don't feel comfortable' (because employers don't care about their employees feelings and someone's feelings are not contractual... [ Read More ]

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