October 19, 2017

Question:
What is the code for a “stacked” DIEP flap used for breast reconstruction?

Answer:
CPT says 19364 is used for a free flap breast reconstruction of any type.  There is not a separate CPT code for a “stacked” DIEP flap reconstruction.  Some payors will allow the HCPCS II code S2067; however, some will not pay S2067 but will allow S2068.  Get the appropriate code precertified so you know what code is allowed prior to billing.

*This response is based on the best information available as of 10/19/17.