The Use of Unlisted Billing Codes for Microsurgical Breast Reconstruction and Implications for Code Consolidation.
Alan Z YangColby J HylandMatthew J CartyJessica Erdmann-SagerAndrea L PusicJustin M BroylesPublished in: Journal of reconstructive microsurgery (2024)
Coding practices for microsurgical breast reconstruction lacked uniformity in Massachusetts, and payments differed greatly between S2068 and CPT19364. Patients from more affluent towns were more likely to have S-code claims. Coding consolidation could impact access, as the majority of providers in Massachusetts might need to adapt their practices if the S-code were discontinued.