Billing 19380 and 20926

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February 6, 2014

Question:

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?

Answer:

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).