Created Mar 2018
Reviewed Dec 2019
What ACHI codes are assigned for reconstruction of left breast using insertion of tissue expander and acellular dermal matrix (ADM) (e.g. Veritas) when performed in the same operative episode as a left subcutaneous mastectomy?
As the procedures are performed in the same operative episode, assign ACHI codes:
31524-00  Subcutaneous Mastectomy, unilateral
45539-00  Reconstruction of breast with insertion of tissue expander
45527-00  Augmentation mammoplasty following mastectomy, unilateral
Use free text to specify the type/brand of ADM used e.g. Veritas
The acellular dermal matrix (ADM) product Veritas is a type of biological mesh, it is derived from bovine pericardium. Other types of acellular dermal matrix (ADM) products may be used.
For further information about breast reconstruction using acellular dermal matrix refer to the website provided.