85632150Removal of autologous tissue substitute from left breast, percutaneous approach
Exempt85632156Removal of autologous tissue substitute from right breast, percutaneous approach
Exempt85632152Removal of drainage device from left breast, percutaneous approach
Exempt85632158Removal of drainage device from right breast, percutaneous approach
Exempt85632148Removal of nonautologous tissue substitute from left breast, percutaneous approach
Exempt85632154Removal of nonautologous tissue substitute from right breast, percutaneous approach
Exempt85632151Removal of radioactive element from left breast, percutaneous approach
Exempt85632157Removal of radioactive element from right breast, percutaneous approach
Exempt85632149Removal of synthetic substitute from left breast, percutaneous approach
Exempt85632155Removal of synthetic substitute from right breast, percutaneous approach
Exempt85632147Removal of tissue expander from left breast, percutaneous approach
Exempt85632153Removal of tissue expander from right breast, percutaneous approach
Exempt85632144Repair bilateral breast, percutaneous approach
Exempt85632145Repair left breast, percutaneous approach
Exempt85632142Repair left nipple, percutaneous approach
Exempt85632146Repair right breast, percutaneous approach
Exempt85632143Repair right nipple, percutaneous approach
Exempt85632141Repair supernumerary breast, percutaneous approach
Exempt85632134Replacement of bilateral breast with autologous tissue substitute, percutaneous approach
Exempt85632132Replacement of bilateral breast with nonautologous tissue substitute, percutaneous approach
Exempt85632133Replacement of bilateral breast with synthetic substitute, percutaneous approach
Exempt85632137Replacement of left breast with autologous tissue substitute, percutaneous approach
Exempt85632135Replacement of left breast with nonautologous tissue substitute, percutaneous approach
Exempt85632136Replacement of left breast with synthetic substitute, percutaneous approach
Exempt85632128Replacement of left nipple with autologous tissue substitute, percutaneous approach
Exempt85632126Replacement of left nipple with nonautologous tissue substitute, percutaneous approach
Exempt85632127Replacement of left nipple with synthetic substitute, percutaneous approach
Exempt85632140Replacement of right breast with autologous tissue substitute, percutaneous approach
Exempt85632138Replacement of right breast with nonautologous tissue substitute, percutaneous approach
Exempt85632139Replacement of right breast with synthetic substitute, percutaneous approach
Exempt85632131Replacement of right nipple with autologous tissue substitute, percutaneous approach
Exempt85632129Replacement of right nipple with nonautologous tissue substitute, percutaneous approach
Exempt85632130Replacement of right nipple with synthetic substitute, percutaneous approach
Exempt85632104Revision of autologous tissue substitute in left breast, percutaneous approach
Exempt85632109Revision of autologous tissue substitute in right breast, percutaneous approach
Exempt85632105Revision of drainage device in left breast, percutaneous approach
Exempt85632110Revision of drainage device in right breast, percutaneous approach
Exempt85632102Revision of nonautologous tissue substitute in left breast, percutaneous approach
Exempt85632107Revision of nonautologous tissue substitute in right breast, percutaneous approach
Exempt85632103Revision of synthetic substitute in left breast, percutaneous approach
Exempt85632108Revision of synthetic substitute in right breast, percutaneous approach
Exempt85632101Revision of tissue expander in left breast, percutaneous approach
Exempt85632106Revision of tissue expander in right breast, percutaneous approach
Exempt85632119Supplement bilateral breast with autologous tissue substitute, percutaneous approach
Exempt85632117Supplement bilateral breast with nonautologous tissue substitute, percutaneous approach
Exempt85632118Supplement bilateral breast with synthetic substitute, percutaneous approach
Exempt85632122Supplement left breast with autologous tissue substitute, percutaneous approach
Exempt85632120Supplement left breast with nonautologous tissue substitute, percutaneous approach
Exempt85632121Supplement left breast with synthetic substitute, percutaneous approach
Exempt85632113Supplement left nipple with autologous tissue substitute, percutaneous approach
Exempt85632111Supplement left nipple with nonautologous tissue substitute, percutaneous approach
Exempt85632112Supplement left nipple with synthetic substitute, percutaneous approach
Exempt85632125Supplement right breast with autologous tissue substitute, percutaneous approach
Exempt85632123Supplement right breast with nonautologous tissue substitute, percutaneous approach
Exempt85632124Supplement right breast with synthetic substitute, percutaneous approach
Exempt85632116Supplement right nipple with autologous tissue substitute, percutaneous approach
Exempt85632114Supplement right nipple with nonautologous tissue substitute, percutaneous approach
Exempt85632115Supplement right nipple with synthetic substitute, percutaneous approach
Exempt