11970 replacement tissue xpndr perm implant
Also known as: Tissue expander replacement, Implant replacement
Replacement of tissue expander with a permanent implant or reinsertion of expanded tissue, completing the reconstruction process.
In Plain Language
Removal of stretching device and placement of permanent implant; Completion of tissue expansion reconstruction
Clinical Context
Following tissue expansion, the expander is removed and replaced with permanent reconstruction such as breast implant, autologous tissue transfer, or other reconstruction.
RVU Breakdown
| Work RVU | 7.30 |
| Total RVU | 7.30 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 7.30, this code ranks in the 47th percentile among Surgery codes — 1.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 11970?
CPT 11970 (replacement tissue xpndr perm implant) is a Surgery code. Replacement of tissue expander with a permanent implant or reinsertion of expanded tissue, completing the reconstruction process.
What is the wRVU value for CPT 11970?
The work RVU for CPT 11970 is 7.30. This code is primarily used by Plastic Surgery, Reconstructive Surgery. It has a 90-day global period.
When is CPT 11970 used?
Following tissue expansion, the expander is removed and replaced with permanent reconstruction such as breast implant, autologous tissue transfer, or other reconstruction.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.