| CPT Code | CPT Description | ICD -9 Procedure |
| 19102 | Biopsy of breast; percutaneous, needle core, using imaging guidance | 8511 |
| 19103 | percutaneous, automated vacuum assisted or rotating biopsy device, using imaging guidance | 8511 |
| 19110 | Nipple exploration, with or without excision of a solitary lactiferous duct or a papilloma lactiferous duct | 850 |
| 19112 | Excision of lactiferous duct fistula | 8520 |
| 19120 | Excision of cyst, fibroadenoma or other benign or malignant tumor, aberrant breast tissue, duct lesion, nipple or areolar lesion (except 19140), open, male or female, one or more lesions | 8521 |
| 19125 | Excision of breast lesion identified by preoperative placement of radiological marker, open, single lesion | 8521 |
| 19126 | Each additional lesion separately identified by a preoperative radiological marker (List separately in addition to code for primary procedure) | 8521 |
| 19140 | Mastectomy for gynecomastia | 8534 |
| 19160 | Mastectomy, partial; | 8523 |
| 19290 | Preoperative placement of needle localization wire, breast | 8519 |
| 19291 | each additional lesion (List separately in addition to code for primary procedure) | 8519 |
| 19499 | Unlisted procedure, breast | 8599 |
| 19316 | Mastopexy | 856 |
| 19318 | Reduction mammaplasty | 8531 |
| 19324 | Mammaplasty, augmentation; without prosthetic implant | 8550 |
| 19325 | with prosthetic implant | 8553U 8554B |
| 19328 | Removal of intact mammary implant | 8594 |
| 19330 | Removal of mammary implant material | 8594 |
| 19340 | Immediate insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction | 8553U 8554B |
| 19342 | Delayed insertion of breast prosthesis following mastopexy, mastectomy or in reconstruction | 8553U 8554B |
| 19350 | Nipple/areola reconstruction | 8587 |
| 19355 | Correction of inverted nipples | 8587 |
| 19357 | Breast reconstruction, immediate or delayed, with tissue expander, including subsequent expansion | 8595 |
| 19361 | Breast reconstruction with latissimus dorsi flap, with or without prosthetic implant | 8585 8554B |
| 19364 | Breast reconstruction with free flap | 8581 8582 8583 8584 8586 |
| 19366 | Breast reconstruction with other technique | 8589 |
| 19367 | Breast reconstruction with transverse rectus abdominis myocutaneous flap (TRAM), single pedicle, including closure of donor site; | 857 |
| 19368 | with microvascular anastomosis (supercharging) | 857 |
| 19369 | Breast reconstruction with transverse rectus abdominis myocutaneous flap (TRAM), double pedicle, including closure of donor site | 857 |
| 19370 | Open periprosthetic capsulotomy, breast | 850 |
| 19371 | Periprosthetic capsulectomy, breast | 8594 |
| 19380 | Revision of reconstructed breast | 8589 |
| 19396 | Preparation of moulage for custom breast implant | CPT only |
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breast surgery CPT AND covered dx
SURGERY OF THE BREAST Procedures and Related CPT and ICD-9 Procedure Codes
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1 comment:
What is a retired patient with an implant that was ruptured due to an accident and is now left in breast and physician states medicare will unlikely cover it. I am shocked that as a woman, I am now looking at a failed prosthesis could be left indefinitely to possible lack of coverage and further damage to surrounding tissue or infection/contracture could occur.
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