I have come across something I have never seen before.

My Surgeon did a Right Simple Mastectomy w/ Sentinel node biopsy, 19303, 38525, 38900. She also did a takedown of a DIEP flap on the left side for symmetry purposes, patient does not want any reconstruction done.

Can we bill for the DIEP flap? if so what code would I use. Never seen this before.

I have attached the op note.

Thanks so much for any help.

MichelleDIEP FLAP.pdf