Month: September 2016


Capsulectomy and Revision of Breast Reconstruction

My doctor did a partial capsulectomy to revise the inframammary fold as well as fat grafting to some defects on a reconstructed breast. Additionally, he revised the scar and took off some excess lateral breast tissue. We submitted the following codes: 19380, 19371-59, 20926-59, and 15839-59. We only got paid on 19380. I have appealed the denial twice but no luck. Can you please help?


New Patient Admission Charge

I took the General Surgery coding courses you taught in New York at The Cornell Club and believe you have already made a difference in how I code. I have a question. After I see a patient in the office and schedule an elective surgery, I prepare an H&P for this patient to be added to their chart upon admission for the planned elective surgery. A New Patient charge is generated at the office visit. Should there be an additional “new patient admission” charge generated at the time of their admission for the elective surgery, or is that considered part of the New Patient charge at the time of the office visit when the elective surgery was scheduled?

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