{"id":177453,"date":"2026-08-14T07:35:13","date_gmt":"2026-08-14T07:35:13","guid":{"rendered":"https:\/\/pabau.com\/?p=177453"},"modified":"2026-08-14T11:40:09","modified_gmt":"2026-08-14T11:40:09","slug":"cpt-code-19324","status":"publish","type":"post","link":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-19324\/","title":{"rendered":"CPT code 19324: Deleted Mammaplasty Code and Replacement"},"content":{"rendered":"\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"headline\":\"CPT code 19324: deleted mammaplasty code and what to use instead\",\"description\":\"CPT code 19324 (mammaplasty, augmentation; without prosthetic implant) was deleted January 1, 2021. It has no direct successor. Report breast fat grafting with 15771 and add-on code 15772.\",\"url\":\"https:\/\/pabau.com\/procedure-codes\/cpt-code-19324\/\",\"audience\":{\"@type\":\"MedicalAudience\",\"audienceType\":\"Clinician\"},\"reviewedBy\":{\"@type\":\"Person\",\"name\":\"Dr Vanja Kitanova\",\"jobTitle\":\"Medical Reviewer\",\"affiliation\":{\"@type\":\"Organization\",\"name\":\"Pabau\"},\"knowsAbout\":[\"Medical Coding\",\"Clinical Documentation\",\"Healthcare Billing\",\"Clinical Safety\"],\"sameAs\":\"https:\/\/pabau.com\/blog\/author\/vanja\/\"},\"datePublished\":\"2026-07-01\",\"dateModified\":\"2026-08-14\"}<\/script>\n\n\n        <div id=\"key_takeaways\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/12\/Key-Takeaways-Icon.svg\" alt=\"Key takeaways\" height=\"42\" width=\"42\">\n                                <h3>Key takeaways<\/h3>\n            <\/div>\n            <div class=\"list\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>CPT code 19324 described mammaplasty, augmentation without prosthetic implant, and the AMA deleted it effective January 1, 2021.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Code 19324 has no direct one-to-one successor, so there is no valid crosswalk from it to a single current code.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>The AMA&#8217;s deletion note directs coders to report breast augmentation with fat grafting using 15771 and add-on code 15772.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Codes 19325, 19340, and 19342 all require a prosthetic implant, so none of them replaces 19324.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Practice management software like Pabau keeps your charge list, clinical notes, and claim submission in one system, so a code update reaches billing immediately.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-what-cpt-code-19324-covered-before-it-was-deleted\" class=\"wp-block-heading\">What CPT code 19324 covered before it was deleted<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">CPT code 19324 described mammaplasty, augmentation; without prosthetic implant. The American Medical Association (AMA) deleted the code effective January 1, 2021. Any claim carrying 19324 for a service on or after that date will be denied.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Code 19324 has no direct one-to-one successor. The AMA attached a parenthetical instruction to the deletion. To report breast augmentation with fat grafting, it points coders to 15771 and add-on code 15772.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">This article covers the code&#8217;s history and the correct reporting pathway today. It also covers the codes commonly mistaken for successors. Modifiers, coverage, and documentation rules follow, for <a href=\"https:\/\/pabau.com\/industry\/plastic-surgery-emr\/\">plastic surgery practices<\/a> and <a href=\"https:\/\/pabau.com\/industry\/regenerative-medicine-emr\/\">regenerative medicine practices<\/a> alike.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">CPT code 19324 sat in the integumentary system section (codes 10000-19999), inside the breast surgery subsection. Its official descriptor was: <em>Mammaplasty, augmentation; without prosthetic implant.<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It applied to procedures that enlarged or reshaped the breast using the patient&#8217;s own tissue rather than a silicone or saline implant. In practice, that meant autologous fat grafting. Because the procedure is overwhelmingly cosmetic, coverage was rarely available under Medicare or commercial payers.<\/p>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"CPT Coding Pitfalls Every Medical Practice Faces\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/vbvV5okdXKg?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<h2 id=\"h-why-was-cpt-code-19324-deleted\" class=\"wp-block-heading\">Why was CPT code 19324 deleted?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The AMA deleted CPT code 19324 in the 2021 CPT revision cycle, which reworked the breast surgery code set. The stated aim was to simplify and streamline the language across the section. Autologous fat grafting already had its own family of codes, which made a separate breast-only augmentation code redundant.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Fat grafting already had codes:<\/strong> the 15771 to 15774 family describes autologous fat grafting by anatomic site group, and that group includes the breasts.<\/li>\n\n\n\n<li><strong>Language simplification:<\/strong> descriptors across the breast section replaced the word prosthesis with implant and dropped redundant phrasing.<\/li>\n\n\n\n<li><strong>Clearer separation:<\/strong> the breast codes that remain all describe implant-based work, while fat grafting sits with the other grafting codes.<\/li>\n\n\n\n<li><strong>Effective date:<\/strong> the deletion took effect January 1, 2021. Code 19324 has no valid use for services on or after that date.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">A charge master that still listed 19324 in January 2021 kept feeding an invalid code onto claims. The transition still matters today, because old encounters, resubmissions, and audits involving this code continue to surface.<\/p>\n\n\n\n<h2 id=\"h-what-replaced-cpt-code-19324\" class=\"wp-block-heading\">What replaced CPT code 19324?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Nothing replaced CPT code 19324 on a one-to-one basis. The AMA never mapped it to a single new code, so no crosswalk from 19324 is valid. What it published instead was a parenthetical instruction pointing coders to the fat grafting codes. That instruction is the reporting pathway for the procedure 19324 used to describe.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Deleted code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">What 19324 described<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Report instead<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Current descriptor<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">19324<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Mammaplasty, augmentation; without prosthetic implant, in practice autologous fat grafting to the breast<\/td>\n<td style=\"padding:12px 16px;color:#374151\">15771<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and\/or legs; 50 cc or less injectate<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">19324<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Same procedure, where total injectate exceeds 50 cc<\/td>\n<td style=\"padding:12px 16px;color:#374151\">15772 (add-on)<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Each additional 50 cc injectate, or part thereof. Listed separately in addition to the primary procedure<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Important:<\/strong> 15771 and 15772 are not breast-specific codes. Their descriptor covers a group of anatomic sites, so injectate volume drives the units, not the body part. Do not treat 19325, 19340, or 19342 as substitutes for 19324. Each of those requires a prosthetic implant, which is the opposite of what 19324 described.<\/p>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Review your charge master every year before the new CPT set takes effect, and look for deleted codes that staff still select from habit. When you retire a code, record the AMA&#8217;s parenthetical instruction beside it instead of a guessed replacement. For 19324, that instruction points to 15771 and 15772, not to a nearby breast code with a similar name.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-how-to-report-breast-augmentation-with-fat-grafting-today\" class=\"wp-block-heading\">How to report breast augmentation with fat grafting today<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Fat grafting to the breast is reported by volume, not by breast. Report 15771 for the first 50 cc of injectate. Then report one unit of add-on code 15772 for each additional 50 cc, or part thereof.<\/p>\n\n\n\n<h3 id=\"h-counting-injectate-volume\" class=\"wp-block-heading\">Counting injectate volume<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">CPT instructs coders to sum the total injectate volume across the anatomic sites that share one descriptor. Because 15771 groups the trunk, breasts, scalp, arms, and legs together, grafting to both breasts in one session is added together. A 140 cc bilateral case is therefore 15771 plus two units of 15772. It is not two separate primary codes.<\/p>\n\n\n\n<h3 id=\"h-bilateral-cases-and-modifier-50\" class=\"wp-block-heading\">Bilateral cases and modifier 50<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Volume-based units already account for both breasts, so modifier 50 is usually inappropriate on 15771. Check the payer&#8217;s policy before you add it. Appending modifier 50 to a code already reported by total volume invites a duplicate-billing denial.<\/p>\n\n\n\n<h3 id=\"h-what-the-graft-codes-already-include\" class=\"wp-block-heading\">What the graft codes already include<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The descriptor for 15771 covers fat harvested by liposuction technique, so the donor-site harvest is part of the code. Do not report a separate lipectomy code for that harvest. Document the donor site, the harvest technique, the preparation method, and the measured injectate volume for each side.<\/p>\n\n\n\n<h2 id=\"h-why-19325-19340-and-19342-are-not-replacements-for-19324\" class=\"wp-block-heading\">Why 19325, 19340, and 19342 are not replacements for 19324<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">These three codes were revised in the same 2021 update, which is why they are often mistaken for successors to 19324. They are not successors. Every one of them describes placing a prosthetic implant, and 19324 described augmentation without one.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">CPT code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Descriptor after the 2021 revision<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Why it is not a successor<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">19325<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Breast augmentation with implant<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Requires a prosthetic implant, which 19324 explicitly excluded<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">19340<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Insertion of breast implant on same day of mastectomy, that is, immediate<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Implant placement tied to a mastectomy, not cosmetic augmentation<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">19342<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Insertion or replacement of breast implant on separate day from mastectomy<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Delayed or replacement implant placement, again implant-based<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Billing 19325 for a fat-grafting augmentation misstates the procedure performed. If the operative report documents no implant, the claim does not match the code. On a post-payment review that mismatch reads as an overpayment, and the payer can recoup it.<\/p>\n\n\n\n<h2 id=\"h-modifiers-for-breast-augmentation-and-fat-grafting-claims\" class=\"wp-block-heading\">Modifiers for breast augmentation and fat grafting claims<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Because 19324 is no longer billable, modifier decisions now belong to the codes that carry its clinical work. The table below covers the modifiers that come up most often on breast augmentation and fat grafting claims.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Modifier<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Description<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Applicable scenario<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">50<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Bilateral procedure<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Implant-based augmentation on both breasts in one session. Rarely appropriate on the volume-based graft codes<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">RT \/ LT<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Right side \/ left side<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Unilateral implant work, identifying which breast was treated<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">22<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Increased procedural services<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Unusual complexity requiring substantial additional physician work<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">52<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Reduced services<\/td>\n<td style=\"padding:12px 16px;color:#374151\">The procedure was partially reduced at the physician&#8217;s discretion<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">59<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Distinct procedural service<\/td>\n<td style=\"padding:12px 16px;color:#374151\">A separately identifiable procedure performed on the same day<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Modifier selection depends on payer policy, the specific procedure, and the clinical circumstances. Treat this table as a starting point, then verify against the payer&#8217;s coverage policy before submission. Some payers restrict modifier 50 on bilateral cosmetic procedures. Check the <a href=\"https:\/\/www.cms.gov\/medicare\/physician-fee-schedule\/search\/overview\" target=\"_blank\" rel=\"nofollow noopener\">CMS Physician Fee Schedule<\/a> for the current bilateral surgery indicator on whichever code you bill.<\/p>\n\n\n\n<h2 id=\"h-reimbursement-and-payer-coverage\" class=\"wp-block-heading\">Reimbursement and payer coverage<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Reimbursement data for CPT code 19324 is historical only. No current fee schedule carries a value for it, because the code has not been valid since January 1, 2021.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Codes 15771 and 15772 do carry Medicare relative value units. But a fee schedule value is not the same as coverage. Look up current figures in the CMS Physician Fee Schedule rather than a cached rate.<\/p>\n\n\n\n<h3 id=\"h-medicare-coverage\" class=\"wp-block-heading\">Medicare coverage<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Medicare does not cover cosmetic breast augmentation, and that exclusion applies whichever code you use. According to <a href=\"https:\/\/www.cms.gov\/medicare\/coding-billing\/icd-10-codes\" target=\"_blank\" rel=\"nofollow noopener\">CMS coding guidance<\/a>, procedures performed solely to improve appearance are statutory exclusions from coverage. Reconstructive breast procedures after mastectomy or trauma may qualify, but they require clear documentation of medical necessity.<\/p>\n\n\n\n<h3 id=\"h-commercial-payer-policies\" class=\"wp-block-heading\">Commercial payer policies<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Most commercial payers classify breast augmentation as cosmetic and non-covered. Coverage exceptions exist only where augmentation forms part of breast reconstruction after mastectomy and meets the criteria in the payer&#8217;s medical policy. Practices billing reconstructive breast procedures should obtain prior authorization before scheduling.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Switching from 19324 to 15771 changed the code, not the coverage. A purely cosmetic fat-grafting augmentation remains a self-pay procedure under almost every plan. Where a case is reconstructive, the authorization has to be on file before surgery, not requested after the claim denies.<\/p>\n\n\n\n<h2 id=\"h-cosmetic-vs-reconstructive-what-the-classification-changes\" class=\"wp-block-heading\">Cosmetic vs reconstructive: what the classification changes<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The most consequential variable in breast augmentation billing is whether the procedure counts as cosmetic or reconstructive. That distinction drives coverage, documentation requirements, and potential liability. The classification is decided in the chart, before anyone picks a code. For <a href=\"https:\/\/pabau.com\/blog\/medspa-compliance\/\">med spa compliance<\/a> and surgical billing teams, that means the physician&#8217;s note comes first.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Cosmetic classification:<\/strong> performed primarily to improve appearance. Medicare and most payers do not cover it. The patient pays out of pocket and no insurance claim is appropriate.<\/li>\n\n\n\n<li><strong>Reconstructive classification:<\/strong> performed to restore form after disease, trauma, or a congenital abnormality. It may be covered if clinical criteria are met, and prior authorization is typically required.<\/li>\n\n\n\n<li><strong>Physician documentation drives the classification:<\/strong> the treating physician must state in the operative report why the procedure is reconstructive rather than cosmetic. Vague documentation defaults to cosmetic.<\/li>\n\n\n\n<li><strong>Post-mastectomy reconstruction:<\/strong> under the Women&#8217;s Health and Cancer Rights Act, group health plans that cover mastectomy must also cover reconstructive surgery, including augmentation for symmetry.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Never reclassify a cosmetic procedure as reconstructive to obtain coverage. Doing so constitutes fraud. The documented clinical judgment of the physician determines the classification, and billing staff should not override or reinterpret it.<\/p>\n\n\n\n<h2 id=\"h-icd-10-diagnosis-codes-for-reconstructive-breast-claims\" class=\"wp-block-heading\">ICD-10 diagnosis codes for reconstructive breast claims<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A reconstructive breast claim needs a diagnosis code that supports medical necessity. Cosmetic augmentation does not, because no claim goes to a payer. The codes below are the ones that come up most often on reconstructive breast claims.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">ICD-10-CM code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Description<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">When it applies<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Z42.1<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Encounter for breast reconstruction following mastectomy<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Staged or delayed reconstruction encounters, including fat grafting stages<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Z90.11 \/ Z90.12 \/ Z90.13<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Acquired absence of right, left, or bilateral breast and nipple<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Documents post-mastectomy anatomic status<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Z85.3<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Personal history of malignant neoplasm of breast<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Cancer history where active disease is no longer present<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">C50.911 \/ C50.912<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Malignant neoplasm of unspecified site of right or left female breast<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Active breast cancer driving the mastectomy<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Q83.8<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Other congenital malformations of breast<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Congenital asymmetry or breast deformity<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Z41.1<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Encounter for cosmetic surgery<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Purely cosmetic augmentation, recorded in the chart rather than on a claim<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Sequence the diagnosis that establishes medical necessity first. Verify every code against the current ICD-10-CM tabular list before submission, because annual updates change descriptors and add subcodes.<\/p>\n\n\n\n<h2 id=\"h-common-coding-errors-and-how-to-avoid-them\" class=\"wp-block-heading\">Common coding errors and how to avoid them<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The errors below account for most of the denials and audit findings tied to this deleted code. Each one is preventable at the point of coding.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Crosswalking 19324 to 19325.<\/strong> This is the most common error. It puts a prosthetic implant on a claim where none was placed.<\/li>\n\n\n\n<li><strong>Leaving 19324 in the charge master.<\/strong> Staff select it from a stale list and the payer rejects the claim as an invalid code.<\/li>\n\n\n\n<li><strong>Reporting 15771 twice for a bilateral case.<\/strong> Volume is summed across both breasts, so the second side is billed with 15772 units.<\/li>\n\n\n\n<li><strong>Billing the donor-site liposuction separately.<\/strong> The harvest sits inside the 15771 descriptor and is not separately reportable.<\/li>\n\n\n\n<li><strong>Omitting injectate volume from the operative note.<\/strong> Without a measured volume, the 15772 units cannot be supported on audit.<\/li>\n\n\n\n<li><strong>Reading a fee schedule value as coverage.<\/strong> Cosmetic augmentation stays non-covered whichever code appears on the claim.<\/li>\n<\/ul>\n\n\n\n<h2 id=\"h-documentation-requirements-for-breast-augmentation-billing\" class=\"wp-block-heading\">Documentation requirements for breast augmentation billing<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Documentation requirements are strict whether you bill cosmetic augmentation as self-pay or reconstructive augmentation to a payer. Incomplete records are what turn a correctly coded claim into a denial on review. <a href=\"https:\/\/pabau.com\/blog\/medical-forms-at-your-healthcare-practice\/\">Medical forms workflows<\/a> that capture structured pre-operative data leave less for a reviewer to question.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Use the checklist below as a minimum standard. Payer-specific requirements may be more extensive.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Operative report documenting surgical technique, tissues involved, and clinical rationale<\/li>\n\n\n\n<li>Measured injectate volume per side, where fat grafting was performed<\/li>\n\n\n\n<li>Donor site and harvest technique for any autologous fat graft<\/li>\n\n\n\n<li>Pre-operative consultation note with patient history and clinical indication<\/li>\n\n\n\n<li>Reconstructive intent explicitly stated by the treating physician, for reconstructive claims<\/li>\n\n\n\n<li>Prior authorization reference number and correspondence, where required<\/li>\n\n\n\n<li>Diagnosis codes supporting medical necessity, for reconstructive procedures<\/li>\n\n\n\n<li>Photographs documenting the pre-operative condition, required by many payers on reconstructive claims<\/li>\n\n\n\n<li>Pathology report confirming mastectomy or the underlying condition, in reconstructive cases<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Practices using <a href=\"https:\/\/pabau.com\/features\/patient-intake-software\/\">digital intake forms<\/a> can structure pre-operative documentation to capture every required field at the point of care. That cuts the back-and-forth of chasing records during the billing cycle. Teams handling <a href=\"https:\/\/pabau.com\/blog\/hipaa-compliance-software\/\">HIPAA-compliant documentation<\/a> get the audit trail in the same place. The record shows who filled in what, and when.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/cpt-code-19324\/customizable-consent-and-intake-forms.webp\" alt=\"Customizable consent and intake forms\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&#8217;s customizable intake and consent forms capture the pre-operative detail your 15771 claim has to match on audit.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 id=\"h-related-breast-cpt-codes-that-are-still-active\" class=\"wp-block-heading\">Related breast CPT codes that are still active<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">CPT code 19324 sat within a broader range of breast procedure codes. The table below lists the active codes most relevant to augmentation, grafting, and reconstruction billing. Use the <a href=\"https:\/\/www.aapc.com\/codes\/cpt-codes-range\/\" target=\"_blank\" rel=\"nofollow noopener\">AAPC CPT code lookup<\/a> for full descriptors and recent updates.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">CPT code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Descriptor<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Category<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">15771<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Grafting of autologous fat harvested by liposuction technique to trunk, breasts, scalp, arms, and\/or legs; 50 cc or less injectate<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Fat grafting, the reporting pathway for what 19324 described<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">15772<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Each additional 50 cc injectate, or part thereof<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Fat grafting add-on code<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">19316<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Mastopexy<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Breast lift, usually cosmetic<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">19318<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Breast reduction<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Reduction mammaplasty<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">19357<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Tissue expander placement in breast reconstruction, including subsequent expansions<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Reconstruction<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">19370<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Revision of peri-implant capsule, breast, including capsulotomy, capsulorrhaphy, and\/or partial capsulectomy<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Implant revision<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">19371<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Peri-implant capsulectomy, breast, complete, including removal of all intra-capsular contents<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Implant revision<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">19380<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Revision of reconstructed breast<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Reconstruction revision<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">19396<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Preparation of moulage for custom breast implant<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Custom implant preparation<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The same code range carries the diagnostic and drainage procedures for the breast. Codes <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-19000\/\">19000<\/a> and <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-19020\/\">19020<\/a> follow different reporting rules from the grafting codes above. Both describe therapeutic work, so coverage turns on medical necessity rather than being ruled out as cosmetic.<\/p>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Run a deleted code audit on your charge master every November. Pull your list of active CPT codes and cross-check it against the AMA&#8217;s deleted code list for the coming year. For each match, record the AMA&#8217;s parenthetical instruction as the replacement path. Do not guess a replacement from a similar-looking descriptor, which is exactly how 19324 ended up crosswalked to implant codes.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-how-pabau-stops-a-deleted-code-from-reaching-a-claim\" class=\"wp-block-heading\">How Pabau stops a deleted code from reaching a claim<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Charge masters and billing workflows do not update themselves when the AMA revises the CPT set. Practices running on spreadsheets or a disconnected billing tool had no way to catch 19324 on its way out the door. Somebody had to remember, every January.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practice management software like Pabau keeps the clinical record and the billing record in one system. The operative note, the consent form, the coded charge, and the claim all sit against the same patient file. When you retire a code, you change it in one place, and every future charge picks up that change.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That single source of truth is what makes an annual CPT update manageable for a <a href=\"https:\/\/pabau.com\/blog\/plastic-surgery-practice-emr-software\/\">plastic surgery EMR<\/a> team. Your staff stops reconciling a spreadsheet against a superbill. For US practices, our <a href=\"https:\/\/pabau.com\/features\/claims-management-software\/\">claims management<\/a> integration submits and tracks claims from the same record. The coded charge on the invoice is what reaches the payer.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Teams comparing <a href=\"https:\/\/pabau.com\/blog\/best-plastic-surgery-software\/\">plastic surgery software<\/a> or broader <a href=\"https:\/\/pabau.com\/blog\/best-medical-practice-management-software\/\">practice management software<\/a> should check how each system handles annual code set changes. A platform that leaves code maintenance in a separate spreadsheet puts the compliance burden back on your staff.<\/p>\n\n\n        <div id=\"book_a_demo\">\n            <div class=\"left-side\">\n                <div class=\"logo\">\n                    <img decoding=\"async\"\n                        src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Logo.svg\"\n                        alt=\"Logo\"\n                        loading=\"lazy\"\n                    \/>\n                <\/div>\n\n                <h3 class=\"heading\">\n                    Keep coding and documentation in one system                <\/h3>\n\n                <p class=\"description\">\n                    Pabau connects clinical notes, consent forms, coded charges, and claim submission in one patient record. Your team updates a code once and every future charge follows, which cuts avoidable rework for plastic surgery practices.                <\/p>\n\n                <div class=\"button-group\">\n                    <a href=\"\/book-demo\/\" class=\"btn btn-scale-effect btn-cta-color btn-md\">\n                        <span class=\"btn-text\">Book a demo<\/span>\n                        <div class=\"btn-icon btn-icon-right\" aria-hidden=\"true\">\n                            <svg\n                                width=\"14\"\n                                height=\"12\"\n                                viewBox=\"0 0 14 12\"\n                                fill=\"none\"\n                                xmlns=\"http:\/\/www.w3.org\/2000\/svg\"\n                            >\n                                <path\n                                    d=\"M0.75 4.77295C0.335786 4.77295 0 5.10874 0 5.52295C0 5.93716 0.335786 6.27295 0.75 6.27295V5.52295V4.77295ZM13.2803 6.05328C13.5732 5.76039 13.5732 5.28551 13.2803 4.99262L8.50736 0.219648C8.21447 -0.073245 7.73959 -0.073245 7.4467 0.219648C7.15381 0.512542 7.15381 0.987415 7.4467 1.28031L11.6893 5.52295L7.4467 9.76559C7.15381 10.0585 7.15381 10.5334 7.4467 10.8263C7.73959 11.1191 8.21447 11.1191 8.50736 10.8263L13.2803 6.05328ZM0.75 5.52295V6.27295L12.75 6.27295V5.52295V4.77295L0.75 4.77295V5.52295Z\"\n                                    fill=\"currentColor\"\n                                ><\/path>\n                            <\/svg>\n                        <\/div>\n                    <\/a>\n                <\/div>\n            <\/div>\n\n            <div class=\"right-side\">\n                <img decoding=\"async\"\n                    src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Home-Page-Concept-4.webp\"\n                    alt=\"Pabau practice management dashboard\"\n                    loading=\"lazy\"\n                \/>\n            <\/div>\n        <\/div>\n        \n\n\n<h2 id=\"h-conclusion\" class=\"wp-block-heading\">Conclusion<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">If 19324 is still sitting in your charge master, retire it now rather than hunt for a substitute. Route the fat-grafting augmentation it used to describe to 15771, then add the units of 15772 the total volume calls for.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The trap worth remembering is the implant codes. Codes 19325, 19340, and 19342 were revised in the same update, which makes them look like successors. All three require a prosthetic implant, so billing one for a fat-grafting case misrepresents the surgery performed.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Coverage did not change with the code. Cosmetic augmentation stays self-pay, and the physician&#8217;s documented clinical judgment still decides whether a case is reconstructive.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Keep the code list, the operative note, and the claim in one system, and a retired code cannot resurface. <a href=\"https:\/\/pabau.com\/book-demo\/\">Book a demo<\/a> to see how Pabau keeps coding and documentation aligned for plastic surgery practices.<\/p>\n\n\n        <div id=\"expert_picks\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/11\/Expert-Picks.svg\" alt=\"Continue your research\" height=\"42\" width=\"42\">\n                                <h3>Continue your research<\/h3>\n            <\/div>\n            <div class=\"content\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Coding other breast procedures?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-19000\/\">19000<\/a> sets out the reporting rules for puncture aspiration of a breast cyst.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Aspirating more than one cyst in a session?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-19001\/\">19001<\/a> explains how the add-on units stack and what the note must show.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Draining a breast abscess?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-19020\/\">19020<\/a> covers mastotomy reporting and the documentation a therapeutic claim needs.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Offering nonsurgical alternatives?<\/strong> <a href=\"https:\/\/pabau.com\/templates\/nonsurgical-breast-lift\/\">Nonsurgical breast lift<\/a> walks through the treatment options and the consent form to pair with them.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Standardizing your post-operative paperwork?<\/strong> <a href=\"https:\/\/pabau.com\/templates\/patient-discharge-form\/\">Patient discharge form<\/a> gives you a free template and the fields a discharge record should carry.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-frequently-asked-questions\" class=\"wp-block-heading\">Frequently asked questions<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1786609487996\"><h3 class=\"schema-faq-question\">What is CPT code 19324?<\/h3> <p class=\"schema-faq-answer\">CPT code 19324 was a breast surgery code describing mammaplasty, augmentation without prosthetic implant. It sat in the integumentary system section (10000-19999) of the AMA CPT set. It applied to breast enlargement using the patient&#8217;s own tissue rather than a silicone or saline implant. The AMA deleted it effective January 1, 2021, so it cannot appear on any claim for services after December 31, 2020.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786609487997\"><h3 class=\"schema-faq-question\">Why was CPT code 19324 deleted?<\/h3> <p class=\"schema-faq-answer\">The AMA deleted 19324 in the 2021 CPT revision, which simplified and streamlined the breast surgery descriptors. Autologous fat grafting already had its own family of codes, so a breast augmentation code without an implant was redundant. The breast codes that remain in that range all describe implant-based work.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786609487998\"><h3 class=\"schema-faq-question\">What replaced CPT code 19324?<\/h3> <p class=\"schema-faq-answer\">Nothing replaced CPT code 19324 on a one-to-one basis, and there is no direct successor code. The AMA&#8217;s deletion note instructs coders to report breast augmentation with fat grafting using 15771 for the first 50 cc of injectate. Add one unit of code 15772 for each additional 50 cc, or part thereof. Codes 19325, 19340, and 19342 are not successors, because all three require a prosthetic implant.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786609488001\"><h3 class=\"schema-faq-question\">What documentation is required for breast augmentation billing?<\/h3> <p class=\"schema-faq-answer\">At minimum you need a complete operative report and a pre-operative consultation note with the clinical indication. Fat grafting cases also need the donor site, the harvest technique, and the measured injectate volume per side. Reconstructive claims add explicit physician documentation of reconstructive intent, a prior authorization reference number, and supporting diagnosis codes. Many payers also require pre-operative photographs and a pathology report.<\/p> <\/div> <\/div>\n","protected":false},"excerpt":{"rendered":"<p>What CPT code 19324 covered before it was deleted CPT code 19324 described mammaplasty, augmentation; without prosthetic implant. The American Medical Association (AMA) deleted the code effective January 1, 2021. Any claim carrying 19324 for a service on or after that date will be denied. Code 19324 has no direct one-to-one successor. The AMA attached [&hellip;]<\/p>\n","protected":false},"author":84,"featured_media":177452,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_linkdex":"88","_yoast_wpseo_content_score":"30","_yoast_wpseo_is_cornerstone":"","_yoast_wpseo_keywordsynonyms":"[\"\",\"\",\"\",\"\"]","_yoast_wpseo_focuskw_text_input":"","_seo_original_html":"","footnotes":""},"categories":[1433,1546],"tags":[1364,2134,4126,4199],"class_list":["post-177453","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-billing-codes","category-cpt-codes","tag-billing","tag-breast-augmentation","tag-cpt","tag-plastic-surgery-billing"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.2 (Yoast SEO v28.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>CPT code 19324: Deleted Mammaplasty Code and Replacement<\/title>\n<meta name=\"description\" content=\"CPT 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is an all-in-one healthcare practice management software platform designed for clinics, medspas, therapists, and medical professionals. 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