A 32-year old woman with severe gynecomastia and a prevalent family history of breast cancer elected to have a complete bilateral mastectomy with immediate insertion of breast prosthesis implants. What is/are the correct code(s) for the procedure?

Question

Quizplus · Accepted Answer

The correct codes for the procedure are 19300 (Mastectomy for Gynecomastia) and 19340 (Immediate Insertion of Breast Prosthesis following Mastopexy, Mastectomy or in Reconstruction). Both codes need to be appended with modifier -50 to indicate that they were performed bilaterally. Code 19303 is not appropriate, in this case, because the mastectomy was performed due to gynecomastia.

A 32-Year Old Woman with Severe Gynecomastia and a Prevalent