Tissue Expander Fills, Again



I keep getting confused on when and what I can bill for tissue expander fills when I’m in, and out of, the global period of the tissue expander placement.  Can you please go over this one more time?


Sure!  The breast reconstruction with tissue expander CPT code (19357) includes all fills during the 90-day postoperative period.  There is no separate CPT code for just a tissue expander fill.  Therefore, once you are out of the 90-day postoperative period, then your fills are part of any Evaluation and Management (E&M) code you’d bill for the service provided that day.