Fat Grafting with a Breast Revision

Question:

My doctor reports a breast revision with CPT codes 19380 and 20926 on the same breast.  Can we report the fat graft harvest in addition to the revision?

Answer:

CPT code 19380, Revision of reconstructed breast involves revising an already reconstructed breast. The code includes repositioning the breast; making adjustments to the inframammary crease; making capsular adjustments; and performing scar revisions, fat grafting, liposuction, and so on. Therefore, it is not appropriate to report the fat graft harvest with CPT 20926 as it is included in the procedure.

*This response is based on the best information available as of 03/15/18.