Biologic Implant for Soft Tissue Reinforcement

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Question:

I billed a breast reconstruction code with CPT 15330 for the Alloderm placed. I used to get paid on 15330 but now I’m not. Do you have any idea why?

Answer:

Yes, actually I do! CPT 15330 was deleted as of January 1, 2012. The most appropriate code to report for this service is now +15777, Implantation of biologic implant (eg, acellular dermal matrix) for soft tissue reinforcement (eg, breast, trunk) (List separately in addition to code for primary procedure). Notice that this code is an add-on code so do not report with modifier 51 (multiple procedures). Additionally, the new code is not dimension based (e.g., square centimeters) but does have laterality. This means you may report +15777 with modifier 50 (bilateral procedures).