Cracking the Code
DIEP Breast Reconstruction
With a deep inferior epigastric perforator (DIEP) procedure, fat, skin, and blood vessels are cut from the wall of the lower belly and moved up through a person’s chest to rebuild the breast. When coding a DIEP procedure, it is important to remember that the harvesting of the flap is NOT coded separately. With this procedure, the “Replacement” code fully specifies the fact that an autograft was harvested, and the qualifier value describes the DIEP flap.
Reference: References: ICD-10-PCS Official Guidelines for Coding and Reporting FY 2021 B3.9; CPT ASST February 2015 page 10: Breast reconstruction with flap, correct reporting; AHA Coding Clinic Third Quarter 2019 pages 32-33: Breast reconstruction with neurotization and Third Quarter 2018 page 13: Deep inferior epigastric artery perforator flap breast reconstruction
