Denial of 15839 with 19342

Denial of 15839 with 19342

May 13, 2021

My doctor performed 19342 (exchange of larger implant to smaller implant), 15771 (grafting of autologous fat) and 15839 (excision of excessive skin). We were denied for 15839 and I have sent a corrected claim with updated diagnosis codes for 15839 but the claim was again denied. Can you help please?

CPT 15839 (Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area) would never be separately reported for only excision of excess skin during a breast reconstruction or revision procedure. This service is included in whatever primary procedure code you’re billing.

*This response is based on the best information available as of 05/13/21.


Sign up for KZAlertsSign up for KZAlerts

Coding Coaches