Capsulotomy with Revision of Breast Reconstruction

Capsulotomy with Revision of Breast Reconstruction

August 5, 2021

Question:
We are having trouble getting paid for the capsulotomy (19370) when billed with the revision code (19380) on the same side. Can you help?

Answer:
Sure! If all you’re doing is a capsulotomy for capsular contracture then you would bill only 19370. If you’re doing a capsulotomy with other procedures such as extensive excision of excess soft tissue, then you’d report only 19380 and not also 19370.

*This response is based on the best information available as of 08/05/21.

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