Billing 19380 and 20926


February 6, 2014


Is it ok to bill 19380 (Revision of reconstructed breast) and 20926 (Tissue grafts, other (eg, paratenon, fat, dermis) together for excising excess skin on the breast as well as harvesting/injecting fat into multiple breast defects on the same side?


No, 19380 would cover all procedures you describe. Remember, 19380 should not be used unless reconstruction is complete. You’d never report a revision (19380) with a tissue expander exchange procedure (11970, 19342).