What CPT code was used for the breast reconstruction procedure following mastectomy?

What CPT code was used for the breast reconstruction procedure following mastectomy?

• A. 19364
• B. 19369
• C. 19340
• D. 19350

Answer: (B)

Breast reconstruction after mastectomy is coded separately from the mastectomy itself. The CPT code set includes a specific code for the reconstruction procedure that follows a mastectomy, regardless of which reconstruction method is used (implant-based, flap, tissue expander, etc.). That reconstruction code is the one used to report the procedure performed after mastectomy, making it the appropriate choice in this scenario. The other codes pertain to the mastectomy itself or to different procedures, not the reconstruction step, so they don’t fit the situation described.

Breast reconstruction after mastectomy is coded separately from the mastectomy itself. The CPT code set includes a specific code for the reconstruction procedure that follows a mastectomy, regardless of which reconstruction method is used (implant-based, flap, tissue expander, etc.). That reconstruction code is the one used to report the procedure performed after mastectomy, making it the appropriate choice in this scenario. The other codes pertain to the mastectomy itself or to different procedures, not the reconstruction step, so they don’t fit the situation described.