CPT Assistant, July 2021, Volume 31, Issue 7, page 8
Question:
A physician performs bilateral partial capsulotomies, removes the tissue expanders, performs partial capsulectomies, and performs thermal capsulorrhaphies. The physician also performs bilateral pectoralis muscle repair to anchor the muscle back to the chest wall, places permanent implants, and injects harvested fat into each breast (60 mL LT, 70 mL RT). Is it appropriate to report two units of code 15734 for the pectoralis muscle repair?
Answer:
No, it would not be appropriate to report an additional unit of code 15734, Muscle, myocutaneous, or fasciocutaneous flap; trunk, to anchor the pectoralis muscle to the chest wall. Manipulation of the pectoralis major, when performed, is considered part of reconstructive breast surgery, and it does not constitute as a muscle flap as required by code 15734.
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