icd 10 code for buccal advancment flap

Full Answer

What is a buccal fat pad flap?

Many congenital and acquired defects occur in the maxillofacial area. The buccal fat pad flap (BFP) is a simple and reliable flap for the treatment of many of these defects because of its rich blood supply and location, which is close to the location of various intraoral defects.

What is the CPT code for advancement flap?

Answer: 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.

What are the limitations of buccal flap flap liposuction?

As the flap is fragile, damage to the vascular pedicle may result in graft loss. Removal of too much of the buccal fat pad may induce facial disfigurement or mouth opening limitation. These limitations should be considered for the clinical application of BFP. Acknowledgements

What is the difference between primary defect and advancement flap?

And with an advancement flap, tissue is moved in a straight line and stretched over the defect. This is also referred to as a V-Y repair or flap. The primary defect is usually created from the excision of a benign or malignant lesion. The creation of the primary defect is included in an adjacent tissue transfer and not separately coded.

What is a flap that closes a defect?

A rotation flap is a curvilinear flap that closes a defect by a rotating the skin around a pivot point. A transposition flap is cut, lifted, and transferred over intervening tissue onto the defect. This type of flap is also referred to as a rhombic, bilobed, or nasolabial fold flap. And with an advancement flap, tissue is moved in a straight line and stretched over the defect. This is also referred to as a V-Y repair or flap.#N#The primary defect is usually created from the excision of a benign or malignant lesion. The creation of the primary defect is included in an adjacent tissue transfer and not separately coded. Adjacent tissue transfers create secondary defects by their very nature, lifting-up skin and moving the skin over to cover the primary defect. Closing the secondary defect is also coded in addition to the adjacent tissue transfer. The secondary closure may be part and parcel of the adjacent tissue transfer, which closes both the primary and secondary defect, or an additional graft may be needed to close the secondary defect, requiring an additional grafting code.#N#If the adjacent tissue transfer closed both the primary defect and the secondary defect, add both the size of primary defect plus the size of the secondary defect to determine the size of the flap that is coded. If a split thickness graft or free graft is used to close the secondary defect, only the primary defect would be used to determine the size of the adjacent tissue flap that is coded. Let’s look at some examples.

How many flaps are needed to close a defect?

A large defect is created in the nasolabial fold and the surgeon needs to create three flaps to close the defect. Even though three flaps are created, three flaps cannot be coded because there is only one defect. But the closure of the secondary defects that are created by all of the flaps may be coded for, so make sure they are accounted ...

Can multiple flaps be coded?

Surgeons may have to create multiple flaps to close a defect, but the multiple flaps cannot be coded since there is only one primary defect. Also, the removal of the lesion to create the primary defect is considered included in the adjacent tissue arrangement. Per CPT® Assistant July 2008, Volume 18: Issue 7, Coding Communication, ...