I'm needing some re-enforcement...
The surgeon has billed this as 19380-50 and 19342-50.
Procedures:
1. Bilateral revision of the reconstruction breast with bilateral
capsulorraphy and skin envelope reduction.
2. Bilateral implant exchange
According to my coding companion and from what I have been taught in the past when an implant is immediately replaced in the same surgical session it should be billed as 19340. I've always thought a 19342 should be billed after the surgery (on a later date). The coding companion even states for 19380"if the existing prosthesis is replaced, it may be reported separately, see 19340".
I value the opinion of my fellow coders and anyone has another opinion as to
how this should be billed, it would be greatly appreciated.
As always thank you for you help!
The surgeon has billed this as 19380-50 and 19342-50.
Procedures:
1. Bilateral revision of the reconstruction breast with bilateral
capsulorraphy and skin envelope reduction.
2. Bilateral implant exchange
According to my coding companion and from what I have been taught in the past when an implant is immediately replaced in the same surgical session it should be billed as 19340. I've always thought a 19342 should be billed after the surgery (on a later date). The coding companion even states for 19380"if the existing prosthesis is replaced, it may be reported separately, see 19340".
I value the opinion of my fellow coders and anyone has another opinion as to
how this should be billed, it would be greatly appreciated.
As always thank you for you help!