--- title: Use of Acellular Dermal Matrix with Breast Implant Reconstruction description: This is Part 4 of a 6-part series focusing on CPT coding of reconstructive procedures following mastectomy. Part 4 focuses on the use of acellular dermal matrix with breast implant reconstruction. image: https://hiacode.com/hubfs/Imported_Blog_Media/iStock-1034975658-1.jpg --- # Use of Acellular Dermal Matrix with Breast Implant Reconstruction ![HIAcode](https://hiacode.com/hubfs/Logos/HIA_RGB_PrimaryLogo_Icon%20(1)_Artboard%201.png) [HIAcode](https://hiacode.com/blog/author/hiacode) Jan 02, 2020 [Medical Coding Tips](https://hiacode.com/blog/tag/medical-coding-tips) ![Part 4 | CPT Breast Education | Use of Acellular Dermal Matrix with Breast Implant Reconstruction](https://hiacode.com/hubfs/Imported_Blog_Media/iStock-1034975658-1.jpg) - Share on: - [![](https://hiacode.com/hubfs/Facebook%20svg.svg)](http://www.facebook.com/share.php?u=https://hiacode.com/blog/education/use-of-acellular-dermal-matrix) - [![](https://hiacode.com/hs-fs/hubfs/twitter.png?width=32&height=32&name=twitter.png)](https://twitter.com/intent/tweet?text=I+found+this+interesting+blog+post&url=https://hiacode.com/blog/education/use-of-acellular-dermal-matrix) - [![](https://hiacode.com/hubfs/LinkedIn%20svg.svg)](http://www.linkedin.com/shareArticle?mini=true&url=https://hiacode.com/blog/education/use-of-acellular-dermal-matrix) - [![](https://hiacode.com/hubfs/mdi_email.svg)](mailto:?subject=Check%20out%20https://hiacode.com/blog/education/use-of-acellular-dermal-matrix%20&body=Check%20out%20https://hiacode.com/blog/education/use-of-acellular-dermal-matrix&media=https://20824215.fs1.hubspotusercontent-na1.net/hubfs/20824215/Imported_Blog_Media/iStock-1034975658-1.jpg) - ![](https://hiacode.com/hubfs/entypo_link.svg) copied   In some cases of breast implant reconstruction, there may not be enough soft tissue to cover the breast implant or tissue expander sufficiently to ensure adequate support and tension-free closure. Acellular dermal matrix (ADM) is a biological tissue mesh derived from human, bovine, or porcine tissues. The tissue is processed to remove the epidermis and any cells that can lead to an immunologic response in the host. The matrix is attached to the pectoralis muscle to create a pocket that holds the implant in place, like an internal bra or sling. This helps to create a natural droop, shape and contour. ADM provides a framework or “lattice” of tissue that the patient’s own cells can grow into and eventually replace. Examples of acellular dermal matrix that coders may see used in breast reconstruction include **Strattice, SurgiMend, FlexHD, Allomax, **and** Alloderm.  ** When this type of mesh is used in a breast implant surgery, CPT code 15777 is assigned separately as an add-on code. A code for the breast implant or tissue expander insertion would also be coded. --- **19340** **Implantation of biologic implant (eg, acellular dermal matrix) for soft tissue reinforcement (ie, breast, trunk) (List separately in addition to code for primary procedure)** ---   **References:** *CPT Assistant, October 2013, Volume 23, Issue 10, page 15* > ***The information contained in this series is valid at the time of posting. Viewers are encouraged to research subsequent official guidance in the areas associated with the topic as they can change rapidly.*** ##### [Previous](https://hiacode.com/blog/education/breast-implant-reconstruction-tissue-expander) ### [Breast Implant Reconstruction Using A Tissue Expander](https://hiacode.com/blog/education/breast-implant-reconstruction-tissue-expander) ##### [Next](https://hiacode.com/blog/education/breast-reconstruction-using-autologous-tissue-flaps) ### [Breast Reconstruction Using Autologous Tissue Flaps](https://hiacode.com/blog/education/breast-reconstruction-using-autologous-tissue-flaps) Serach Blog Post ## Need to Earn CEUs? Our coding education platform, HIAlearn.com, offers courses related to this topic and many more. 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