Closing the Partial Mastectomy Wound

Question:

A patient has a partial mastectomy by a general surgeon. After the surgery, a plastic surgeon comes in to close due to possible reconstruction. The plastic surgeon ends up only doing a layered closure. A layered closure is inclusive the in the partial mastectomy (19301) but is the plastic surgeon still able to get credit for the layered closure (12034) because she is a different specialty?

Answer:

In our experience, no, the plastic surgeon would not be reimbursed for a simple, intermediate or complex repair code in this situation. Sorry. Good question though!

 
 
KZA - Plastic Surgery - Coding Coach
 
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2021 E/M Guidelines MDM Table