Exchange of breast implants

A patient with prior breast augmentation presented for a left breast implant exchange due to a completely deflated implant. An incision was made at the lateral inframammary fold of the left breast. The capsule was entered and the implant cavity contained the deflated, collapsed saline implant. The implant was removed, the pocket was irrigated and a new implant placed. Since CPT code 19342 , Insertion or replacement of breast implant on separate day from mastectomy, is specific to replacement of breast implants in a patient who has had a mastectomy, what are the correct CPT codes(s) for non-post mastectomy breast implant replacements? ...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This premium article discusses how to approach CPT coding for breast implant exchange when the patient has not had a prior mastectomy. It is aimed at coders, billers, and reimbursement staff who need to distinguish between implant removal and replacement services and understand how the article frames the available CPT guidance for this type of case.

Why This Topic Matters

Breast implant exchange cases can be coded differently depending on whether they occur after mastectomy or in a non-mastectomy context. This article helps readers identify the relevant CPT framework and recognize how the service components are discussed for accurate claim reporting.

What You Will Learn

  • How the article frames breast implant exchange coding in a non-mastectomy context.
  • Which CPT concepts are discussed for implant removal and replacement services.
  • How the article distinguishes this scenario from post-mastectomy implant coding.
  • What type of coding guidance the article provides for a deflated breast implant case.

Who Should Read This

  • Medical coders
  • Coding managers
  • Billing staff
  • Revenue cycle professionals
  • Outpatient surgery coding specialists

Codes Discussed


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