This week, Gail Lanter, CPC, of The Center for Natural Breast Reconstruction answers your question.
Question: My recent replacement implant surgery was last week. The billing states “Reconstruction of the Breast Prothesis.” What does that mean?
Answer: Thanks for your question. The narrative reflected within the billing process of most practice management systems is abbreviated and sometimes determined by the staff of the practice (could be the reason for prosthesis to be spelled incorrectly). This narrative would normally be taken from the content of the CPT (Current Procedural Terminology) book utilized to assign a 5 digit code to a procedure to send via electronic claim to an insurance company. If you happen to see a 5 digit code on your billing statement that begins with 193XX, I could send you the specific narrative of the procedure billed. Hope this helps!
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