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CPT 19328: Removal of Previously Placed Breast Implant
CPT code 19328 represents the surgical removal (explantation) of a previously placed breast implant. This code is used to bill for procedures in which one or both implants are surgically removed, and it is relevant across reconstructive and cosmetic breast surgery contexts. Nationally, implant removal is an important component of plastic and reconstructive surgery practice, driven by complications, device failure, patient preference, or part of staged reconstruction.
Key payers addressed in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context for explantation, typical sites of service (ambulatory surgical centers and hospital operating rooms), and the common modifier landscape associated with surgical services. The publication outlines billing benchmarks, payer coverage considerations, and policy updates that affect authorization and coding for explantation procedures. Clinical context sections explain typical indications for removal and perioperative considerations relevant to coding and claims submission.
This summary provides practitioners, coding professionals, and policy analysts with a national perspective on how CPT code 19328 fits into surgical workflows, payer interactions, and administrative processes. Data not available in the input is noted where applicable.
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Billing Code Overview
CPT code 19328 describes the removal of a previously placed breast implant. The procedure involves explantation of one or more breast implants that were surgically inserted in a prior operation.
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Service type: Surgical removal of implant, reconstructive/plastic surgery procedure
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Typical site of service: Ambulatory surgical center or hospital operating room