What is the CPT code for adjacent tissue transfer?
Scalp/Arms/Legs: For adjacent tissue transfer of the scalp, arms, and/or legs when the area repaired by adjacent tissue transfer is 30 square centimeters or less, assign one of the following codes: CPT 14020: Adjacent tissue transfer or rearrangement, scalp, arms, and/or legs; defect 10 sq cm or less. Click to see full answer.
What is Rule 4 of the adjacent tissue transfer code?
Rule #4: Adjacent tissue transfer is coded based on the total square centimeters of area repaired with adjacent tissue transfer techniques.
What is adjacent tissue transfer?
Adjacent tissue transfer involves rearranging/transferring local areas of the skin along with the underlying subcutaneous tissues to repair a defect. The “defect” repaired may be a traumatic wound/injury or may be a defect left after excision of a lesion/mass. Some examples of adjacent tissue transfer include the following techniques:
What is Rule 3 of the CPT code for tissue transfer?
Rule #3: Because adjacent tissue transfer can be reported for repair of a defect following excision of a lesion, the excision of a lesion at the same anatomic site as an adjacent tissue transfer is not separately coded.
What is the CPT code for adjacent tissue transfer?
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.
What is adjacent tissue transfer?
Description: Adjacent tissue transfer/grafts involves transferring or rearranging adjacent tissue or performing a full thickness graft to repair traumatic or surgical wounds on the forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, feet nose, ears, eyelids and/or lips.
What is the difference between adjacent tissue transfer and flap?
Moderator, CCO Instructor. Tissue transfer is when they take tissue from someplace else and cover the wound. A flap is also taking tissue but from close to the woud and it is flopped over the wound.
Is an adjacent tissue transfer a skin graft?
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.
Can 19301 and 14001 be billed together?
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, ...
What does CPT code 14060 mean?
Adjacent tissue transfer or rearrangementCPT® Code 14060 in section: Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips.
What is the CPT code for Fasciocutaneous flap?
Codes 15733–15738 are described by donor site of the muscle, myocutaneous, or fasciocutaneous flap.
What is procedure code 14040?
14040 - Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less.
What is procedure code 14301?
14301 - CPT® Code in category: Adjacent tissue transfer or rearrangement, any area.
How do you code skin grafts?
The new CPT® code series for skin substitute grafts is 15271-15278....Skin Substitute Grafts.Table 4: Skin Substitute Grafts Coding by Site and SizeTrunk, arms, legsFace, scalp, neck, ears, genitalia, hands, feet, digits201-300 cm2+15274 x 2+15278 x 2301-400 cm2+15274 x 3+15278 x 38 more rows•May 17, 2022
What is procedure code 14020?
Adjacent tissue transfer or rearrangementCPT® Code 14020 in section: Adjacent tissue transfer or rearrangement, scalp, arms and/or legs.
What is procedure code 14000?
Adjacent Tissue Transfer or Rearrangement ProceduresThe Current Procedural Terminology (CPT®) code 14000 as maintained by American Medical Association, is a medical procedural code under the range - Adjacent Tissue Transfer or Rearrangement Procedures on the Integumentary System.
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 ...
What is primary defect?
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.
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, ...
Check location and combined areas to capture separately reportable procedures
By Ken Camilleis, CPC, CPC-I, CMRS 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.
Include Same-location Excision, Debridement, and Repairs
Per CPT ® instructions, ATT/R procedures include excisions at the same location—for instance, to revise a scar or to remove a benign or malignant lesion. CPT® Assistant (July 2008) provides the following example: A physician excises a 1.5 cm lesion on the cheek with an excised diameter of 1.8 cm (primary defect, approximately 3.2 sq cm) and performs an adjacent tissue transfer (flap dimension of 1.4 cm x 3.0 cm, which equals a 4.2 sq cm secondary defect).
Grafts Call for Separate Coding
As CPT® Assistant (July 2008) explains, “Sometimes a tissue transfer or rearrangement procedure creates an additional defect that must be repaired.
