Coding breast lumpectomy with mastopexy

Cases , Coding , Oncoplastic , Techniques. Is there a CPT for this? Answer: In addition to coding for the partial mastectomy, CPT code — Immediate insertion of breast prostheses following mastopexy, mastectomy, or in reconstruction can be used. Other possibilities to consider are breast reconstruction with other technique or the unlisted breast procedure code
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General/Plastic Surgery Coding Facts

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The surgical management of breast cancer has dramatically evolved over the past 20 years, with oncoplastic surgery gaining increased popularity. This field of breast surgery allows for complete resection of tumor, preservation of normal parenchyma tissue, and the use of local or regional tissue for immediate breast reconstruction at the time of partial mastectomy. These techniques extend the options for breast conservation surgery, improve aesthetic outcomes, have high patient satisfaction and result in better control of tumor margins. This article will detail the approach to evaluating and treating patients undergoing oncoplastic reconstruction. Different oncoplastic approaches will be described and applied to an oncoplastic reconstructive algorithm.
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Coverage criteria policies

These services may or may not be covered by your HealthPartners plan. Please see your plan documents for your specific coverage information. If there is a difference between this general information and your plan documents, your plan documents will be used to determine your coverage. Breast surgery is generally covered subject to the indications listed below and per your plan documents.
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Dictation File Upload. Most women with breast cancer choose mastectomy, the surgery to remove all breast tissue including the nipple and the areola from one or both breasts. Primarily performed to treat or prevent breast cancer, mastectomy is normally carried out to remove existing cancerous cells within the breast and thereby reduce the potential for breast cancer to spread.
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