September 24, 2015

Question:

I’m doing bilateral tissue expander breast reconstructions and will be using ADM. Is there a separate code for the ADM?

Answer:

Yes, there is. In addition to 19357 (Breast reconstruction, immediate or delayed, with tissue expander, including subsequent expansion) you can report an add-on code, +15777 (Implantation of biologic implant (e.g., acellular dermal matrix) for soft tissue reinforcement (e.g., breast, trunk)) (List separately in addition to code for primary procedure). You can report both codes bilaterally, with modifier 50.

*This response is based on the best information available as of 09/24/15.