Summary
Independence Blue Cross updated ICD-10 diagnosis codes for breast implant removal coverage effective 10/01/2024. Six new T81.32x codes for surgical wound complications were added, and three outdated T81.32x codes were deleted from the policy attachment. This affects claim coding accuracy for implant removal procedures but does not change coverage criteria or billing code requirements.
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What to do
Action · 3 steps
01By 10/01/2024 (retroactive): Billing team must update ICD-10 code mapping in the billing system to replace deleted codes T81.32XA, T81.32XD, and T81.32XS with the new specific codes T81.328A/D/S and T81.329A/D/S when coding surgical wound disruption/dehiscence complications related to breast implant removal.
02Audit any claims submitted between 10/01/2024 and the policy update date using old T81.32X codes and resubmit with corrected codes.
03Update coding reference materials and train billing staff on the new code set.
If missed: Failure to use correct codes may result in claim denials or rejections.
Codes mentioned
T81.328AT81.328DT81.328ST81.329AT81.329DT81.329S193281933019371
Original notice
11.08.14o, Removal of Breast Implants
medpolicy.ibx.com · Always check the source before changing claims.
Related changes
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