- » e-Newsletters
Tip: Understand breast capsule procedures
Ambulatory Surgery Reimbursement Update, May 27, 2008
It is important to understand the difference in procedures physicians perform to treat complications from previous placement of breast implants. In particular, pay close attention to the differences between capsulotomy and capsulectomy procedures, which include the following:
- Capsulotomy procedures are less extensive than capsulectomy procedures. Physicians perform these procedures to enlarge the pocket of a contracted breast capsule from previous implants to relieve pain and tightness. Report capsulotomy procedures with CPT code 19370.
- Capsulectomy procedures are more extensive and also involve a contracted capsule from breast implants. In capsulectomy procedures the physician excises the capsule from the breast tissue and removes the implant. Report capsulectomy procedures with CPT code 19371.
If a physician performs a capsulectomy procedure on a patient with breast implants, the procedure includes the removal of the old (intact) implants, and is not separately-billable. If an implant has ruptured, the removal of implant material is separately-billable. However, check the national correct coding initiative updates to be sure, since they are quarterly.
This tip is brought to you by Ellis Medical Consulting, Inc.
- Differentiate between types of wound debridement
- Complications from immobility by body system
- Note similarities and differences between HCPCS, CPT® codes
- Why Is The ED Such A Pain?
- Don’t forget the three checks in medication administration
- OSHA issues new inspection guidelines for field inspectors: How you’re affected
- OB services: Coding inside and outside of the package
- What does case-mix index mean to you?
- Your Hospital's Financial Statements: How Management Keeps Score
- ICD-10-CM coma, stroke codes require more specific documentation
- The history and importance of the pinning ceremony
- Q/A: Billing telemetry daily monitoring
- Q&A: HIPAA Notice of Privacy
- Q&A: Review palliative care charts and query for 'comfort care' when appropriate
- Q&A: Coding for palliative care
- Nurse practitioners improve discharges, reduce readmissions, and save hospitals money
- Know How to Document Missed Visits
- Inter-department communication can improve patient safety
- Homecare Q&A, September 17, 2016
- CPT coding for urgent care clinics