CPT code 19328: Removal of intact breast implant
CPT code 19328 is the billable code for removal of an intact breast implant, performed without a capsulectomy. The implant is whole when it comes out, with no rupture and no silicone or saline in the pocket. The code is published by the American Medical Association (AMA), and its official descriptor reads removal of intact […]
CPT code 21348: Nasomaxillary Fracture Repair
CPT code 21348 covers open treatment of a nasomaxillary complex fracture, the LeFort II pattern, with bone grafting. The descriptor includes obtaining the graft, so you do not bill the harvest on top. It is one of four LeFort II codes, and its own descriptor defines each one. Plastic surgery practices meet these codes alongside […]
CPT code 11983: Bill a Nexplanon exchange without denials
CPT code 11983 covers the removal of a non-biodegradable drug delivery implant and the reinsertion of a new one at the same visit. For most practices, that means a Nexplanon exchange. The billing looks simple until the claim bounces. Two habits cause most of the trouble. Some coders send 11981 and 11982 as separate lines, […]
CPT code 21344: Open treatment of complicated frontal sinus fracture
CPT code 21344: definition and official description CPT code 21344 is the AMA procedure code for open treatment of a complicated frontal sinus fracture, performed through a coronal or multiple approaches. Complicated has a specific meaning in this descriptor. The fracture is either comminuted, or it involves the posterior wall of the sinus. The code […]
CPT Code 21336: Open treatment of nasal septal fracture
What CPT 21336 covers CPT 21336 covers the open surgical treatment of a nasal septal fracture, with or without stabilization. It sits in the Fracture and/or Dislocation Procedures on the Head section of the AMA’s CPT code set. Coders most often confuse it with the closed-treatment codes in the same family, or with elective septoplasty, […]
CPT Code 21320: Closed treatment of nasal bone fracture
CPT Code 21320: Definition and clinical description CPT Code 21320 covers closed treatment of nasal bone fracture with stabilization. The physician reduces and manipulates the fractured nasal bones without making a surgical incision. The reduction is then held in place with an external nasal splint, internal packing, or both. Codes 21325 and 21330 cover the […]
CPT code 11970: Tissue expander replacement billing guide
CPT code 11970 bills the tissue expander to implant exchange. Read more on the current descriptor, modifiers, ICD-10 pairings, and the denials to avoid.
CPT code 17312: Mohs surgery add-on stage billing guide
CPT 17312 bills each Mohs stage after the first on the head, neck, hands, feet, or genitalia. Units are total stages minus one.
CPT Code 01650: Anesthesia for shoulder and axilla artery procedures
CPT Code 01650 covers anesthesia for shoulder and axilla artery procedures. It carries 6 base units, so a 90-minute case bills 12 units.
CPT code 15050: Pinch graft billing, modifiers, and reimbursement
CPT code 15050 covers pinch grafts up to 2 cm outside the face, carries a 090 global period, and pays about $606 in office.