The adjacent tissue transfer will be coded as 14060, adjacent tissue transfer or rearrangement. eyelids, nose, ears and/or lips, defect size 10 sq. cm or less. A 3.5 cm malignant lesion is removed from the face with.5 cm margins from the cheek. This results in a 4.5 cm excised diameter defect.
The Current Procedural Terminology (CPT ®) code 14060 as maintained by American Medical Association, is a medical procedural code under the range - Adjacent Tissue Transfer or Rearrangement Procedures on the Integumentary System. Subscribe to Codify and get the code details in a flash.
Notice, we have 2 units of CPT 14302 since this code is reported for each additional 30 sq cm “or part thereof.” So the first unit of 14302 is coded for an additional 30 sq cm which takes us to 90 sq cm in total when combined with 14301 which captured the first 60 sq cm of repair.
CPT codes 11400-11446 should be used when the excision is a full-thickness (through the dermis) removal of a lesion, including margins, and includes simple (non-layered) closure. Excision is defined as full-thickness (through the dermis) removal of a lesion, including margins, and includes simple (non-layered) closure when performed.
CPT 14040: Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hand and/or feet; defect 10 sq cm or less CPT 14041: Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hand and/or feet; defect 10.1 sq cm to 30.0 sq cm
CPT 14040: Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hand and/or feet; defect 10 sq cm or less.
An adjacent tissue transfer, also known as a rearrangement procedure or simply ATT/R, is a medical procedure wherein flat sections of healthy skin and other tissues are transferred or transplanted to the area adjacent to a skin defect.
You should have reported one CPT code 14040 for the advancement flap which includes the lesion excision and repair. You should resubmit the claim with CPT 14040 and you should get paid.
An adjacent tissue transfer (CPT® 14000-14350) relocates a flap of healthy skin from a donor site to an adjacent laceration, scar, or other discontinuity. A portion of the flap is left intact to supply blood to the grafted area.
Adjacent Tissue Transfer: A random pattern local flap which is used to fill in nearby or local defect. To be considered an Adjacent Tissue Transfer an incision must be made by the surgeon which results in a secondary defect. Examples include transposition flaps, advancement flaps and rotation flaps.
Answer:No, it is not appropriate to report either code 14000, Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less, or 14001, Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm, in addition to code 19301, Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, ...
CPT® Code 14060 in section: Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips.
A single pedicle advancement skin flap is a flap that is mobilized by undermining and advancement into a defect without altering the plane of the pedicle. This technique can be considered for use in repair when there is skin available on only one side of a wound.
The primary goal of an advancement flap is to transfer the tension of the scar that would result from side-to-side closure to a more cosmetically acceptable site. Such sites include relaxed skin tension lines and the boundaries between cosmetic units (eg, melolabial fold, melolabial crease).
Skin Grafts (Adjacent Tissue Transfer) Skin grafts involve the transplanting of adjacent skin over the wound to improve the function and appearance of the area. The graft may be a thin layer of healthy tissue, or a full thickness skin graft.
14301 - CPT® Code in category: Adjacent tissue transfer or rearrangement, any area.
14061 - CPT® Code in category: Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips.
CPT codes, descriptions and other data only are copyright 2020 American Medical Association. All Rights Reserved. Applicable FARS/HHSARS apply.
Medicare does not cover cosmetic surgery or expenses incurred in connection with such surgery (CMS publication 100-02; Medicare Benefit Policy Manual, Chapter 16, Section 20). including complications resulting from non-covered services (CMS publication IOM 100-02, Chapter 16, Section 180).
Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. Absence of a Bill Type does not guarantee that the article does not apply to that Bill Type.
Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Unless specified in the article, services reported under other Revenue Codes are equally subject to this coverage determination.