Medical Billing / Plastic Surgery
Plastic Surgery Billing
Reconstructive surgery gets paid when medical necessity is proven before surgery, with photos and measurements. Physicians Professional Billing Services, Inc. has billed for physician practices since 1998.
Key Codes
| Codes | Service | Common Denial |
|---|---|---|
| 19357, 19340, 19342, 19364 | Breast reconstruction | Staged procedures in a global period |
| 19318 | Reduction mammaplasty | Payer criteria not met |
| 15830 | Panniculectomy | Photos or skin history missing |
| 15822, 15823 | Upper eyelid blepharoplasty | Visual field test missing |
| 15730 to 15738, 14000 to 14350 | Flaps and tissue transfers | Defect size not documented |
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Other specialties: Wound Care and Hyperbaric Medicine · Dermatology · Podiatry · Neurology and Neurosurgery · General Surgery
Sources: CMS Physician Fee Schedule. Updated November 1, 2026.
PECS and Physicians Professional Billing Services, Inc. are related businesses, and PECS may receive a referral fee. You pay nothing extra.