2025 CPT code 19328
(Active) Effective Date: N/A Revision Date: N/A Surgery - Repair and/or Reconstruction Procedures on the Breast Surgery Feed
Removal of an intact breast implant.
Modifiers 50 (Bilateral Procedure), 51 (Multiple Procedures), 58 (Staged or Related Procedure), 59 (Distinct Procedural Service), 76 (Repeat Procedure by Same Physician), and 77 (Repeat Procedure by Another Physician) may be applicable depending on the circumstances.
Medical necessity for implant removal may be based on patient discomfort, implant malfunction, or the desire to change implant characteristics.Documentation supporting the medical reason for the procedure is required.
The surgeon or qualified physician makes an incision, removes the intact breast implant, and closes the incision.Preoperative and postoperative care may also be included.
In simple words: This surgery removes a breast implant that is whole and hasn't broken or leaked. The doctor takes out the implant from under the breast tissue.
This procedure involves the surgical removal of a previously placed breast implant that is intact and has not ruptured or leaked.The implant is extracted from its breast pocket. Reasons for removal may include implant malfunction, patient discomfort, or a desire to change implant size or type.
Example 1: A patient experiences discomfort related to a breast implant and requests its removal. The surgeon performs a simple explantation using code 19328., A patient desires a change in breast implant size or type.The surgeon removes the existing implant (19328) and places a new one (19342) during the same procedure., A patient has a breast implant that is malfunctioning. The surgeon removes the defective implant (19328) and may or may not insert a replacement.
Operative report detailing the procedure, including type of implant removed, any complications encountered, and the method of closure.Preoperative and postoperative notes, including the patient's informed consent, should also be documented.
** This code does not include the removal of a tissue expander.For removal of a tissue expander with or without replacement, use codes 11970 or 11971, respectively.
- Revenue Code: P1A (MAJOR PROCEDURE - BREAST)
- RVU: This information is not available in the provided sources.RVUs are determined by the Medicare Physician Fee Schedule and may vary depending on location and other factors.
- Global Days: The global period for this procedure is not specified in the provided sources.It may depend on payer policy and other specific circumstances.
- Payment Status: Active
- Modifier TC rule: A Technical Component (TC) modifier is not applicable to this code.
- Fee Schedule: Fee schedule information is not available in the provided sources.Refer to payer-specific fee schedules for the most current information.
- Specialties:Plastic Surgery, General Surgery
- Place of Service:Office, Ambulatory Surgical Center, Hospital (Inpatient or Outpatient)