Coding Harvest/fat for injection in breast defect after revision reconstruction

We have a patient that post mastectomy, post revision reconstruction 3/8/11. She has a defect in the left breast where it indents very noticeably. The provider is looking for CPT® code for harvesting of fat from one site filtering/preparing for injection into a breast defect. I have done some research and have come up with only the unlisted breast procedure code to report this procedure. Any thoughts or assistance is appreciated. Thanks

re: Coding Harvest/fat for injection in breast defect after revision reconstruction

What technique was used to harvest fat

re: Coding Harvest/fat for injection in breast defect after revision reconstruction

The provider will be using liposuction, but states he will not bill for that portion of the procedure.

Thank you so much for your assistance.

re: Coding Harvest/fat for injection in breast defect after revision reconstruction

Look at 1583x series

re: Coding Harvest/fat for injection in breast defect after revision reconstruction

Would the 1583x series apply when the provider is injecting the fat into the breast indentation? I didn't think that the codes would be applicable as the description states "excision"

Thanks again.

re: Coding Harvest/fat for injection in breast defect after revision reconstruction

Look at examples given (lipectomy)--this is harvest

re: Coding Harvest/fat for injection in breast defect after revision reconstruction

I do see the description saying includes lipectomy. I think I am looking into it a little more than I should.

Thanks so much for your help with this!!

re: Coding Harvest/fat for injection in breast defect after revision reconstruction

Understood

re: Coding Harvest/fat for injection in breast defect after revision reconstruction

would the the injection of the fat into the breast be included or separately reported?

re: Coding Harvest/fat for injection in breast defect after revision reconstruction

Included