What is the CPT code for oncoplastic breast reconstruction?
What is the CPT code for oncoplastic breast reconstruction?
Billing and Coding for Oncoplastic Breast Surgery
| CPT Code | Description |
|---|---|
| 15770 | Formation of direct or tubed pedicle, with or without transfer, trunk |
| 19316 | Mastopexy |
| 19318 | Reduction mammoplasty |
| 19366 | Breast reconstruction with other technique |
How long does oncoplastic surgery take?
Oncoplastic reduction surgery is usually 2-3 hours, depending on the size of your breast.
Is oncoplastic surgery covered by insurance?
Many patients assume that their insurance will not cover reconstructive surgery on the unaffected breast or necessary follow-up procedures. However, federal law requires insurance to cover all stages of breast reconstruction, including symmetry of the other breast, after a mastectomy.
How do you code a bilateral mastectomy?
For example, if you are billing for a bilateral mastectomy, you would report CPT code 19303 (Mastectomy, simple, complete) with the modifier.
What is mastopexy surgery?
A mastopexy procedure (or commonly referred to as a breast lift) is a surgical procedure in which a woman’s breasts are lifted and firmed to create a more balanced, youthful appearing breast.
Why is a lumpectomy done?
The goal of lumpectomy is to remove cancer or other abnormal tissue while maintaining the appearance of your breast. Studies indicate that lumpectomy followed by radiation therapy is as effective in preventing a recurrence of breast cancer as removal of the entire breast (mastectomy) for early-stage breast cancer.
Does insurance pay for breast reconstruction after lumpectomy?
Breast reconstruction procedures should be covered by your health insurance plan, whether they are done right away, soon after mastectomy/lumpectomy, or many years later. This includes procedures that may be needed over time to refine the reconstructed breast and/or to create symmetry (balance) between the two breasts.
How much does a breast reconstruction cost?
The approximate out of pocket cost for DIEP flap surgery (as at February 2020) in the private sector is: – Approx. $25000-30000 for a bilateral procedure (double reconstruction) – this includes the cost of 2 plastic surgeons, surgical assistants, an anaesthetist and all follow-up.
How is Oncoplastic surgery used to treat breast cancer?
Oncoplastic surgery integrates breast cancer and plastic surgical techniques. The goal is to achieve better cancer and cosmetic outcomes in patients that require a lumpectomy. Talk to your breast surgeon about their expectation for your breast shape and symmetry after a lumpectomy and radiation therapy.
Who is the founder of oncoplastic breast surgery?
This term was coined to describe combining breast cancer (“onco-”) surgery with plastic (“-plastic”) surgical techniques to achieve better cancer and cosmetic outcomes. The field was pioneered and promoted in the United States by breast surgeon Dr. Melvin Silverstein at Hoag Breast Center in California.
Is there a school for breast cancer surgery?
The School of Oncoplasitc Surgery provides education and courses for breast surgeons to learn oncoplastic techniques. This Wall Street Journal article ( here) “New Surgery Eases the Toll of Breast Cancer” is an excellent overview of oncoplastic surgical techniques.
Can you have a lumpectomy with Oncoplastic surgery?
This question begins an important conversation with your surgeon. Good cosmetic outcomes with lumpectomy and breast conserving surgery are difficult to achieve in some patients. Oncoplastic surgery integrates breast cancer and plastic surgical techniques.
