Tissue Expander Fills, Again

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Question:

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?

Answer:

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.