Great question — An abdominoplasty (15847) involves significantly more work than a panniculectomy (15830) – work such as fascial and or muscle plication. Additionally, abdominoplasty is typically performed for cosmetic purposes.

When a surgeon repositions the umbilicus during a panniculectomy, that work is considered inherent to the procedure and is not separately reportable. Therefore, only 15830 should be billed in this scenario.

Thank you for reaching out to KZA!

Can KZA please explain global modifiers (58, 78, 79)?

Is there a code for an inferior dermal flap in breast reconstruction?

I am looking for KZA’s recommendation. If both a breast reduction (19318), and a suction-assisted lipectomy (15877) is also performed can both procedures be reported?

Can you please advise? Our practice performs reconstructions of defects following Mohs. For some context, our practice typically sees the patient before surgery to discuss reconstruction. What is the appropriate ICD-10 code to reflect this wound in the setting of reconstruction?

My surgeon wants to report 19342 when a patient develops a seroma post‑reconstruction. The implant is removed, the seroma is drained, and the same implant is reinserted. Is this appropriate?