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June 27, 2026
by John Gwin

Panniculectomy Pays. Abdominoplasty Doesn’t.

Panniculectomy (15830) is covered when the panniculus impairs function. Abdominoplasty is cosmetic. The add-on +15847 is the line where covered claims turn into denials.

June 24, 2026
by John Gwin

Multiple Biopsy Techniques, One Primary Code. Most Practices Bill Two.

CPT 11102, 11104, and 11106 are biopsy primaries by technique. Use multiple techniques in one visit and you still report one primary plus add-ons, not two primaries.

June 22, 2026
by John Gwin

Your Breast Reduction Denial Is a Schnur Problem

One in five medically necessary breast reductions gets denied, and the number doing the denying is the Schnur scale. Here’s how each payer sets the bar.

June 18, 2026
by John Gwin

17110 Is Not a Per-Lesion Code. Most Practices Bill It Like One.

CPT 17110 covers up to 14 benign lesions in one unit, not one per lesion. Bill it per lesion and the payer strips the overage before it pays.

June 10, 2026
by John Gwin

In-House Plastic Surgery Billing Is a System, Not a Hire

Running plastic surgery billing in-house isn’t one hire — it’s a full revenue-cycle system. Here’s the whole machine, end to end.

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