AHA Coding Clinic® for HCPCS - 2019 Quarter 2; Ask the editor
Martius flap graft
A patient with urethral diverticulum presented for excision of the diverticulum with rotation of Martius flap. The diverticulum was excised from the urethra resulting in a defect in the ventral aspect of the urethra. This was over sewn and a longitudinal incision was made in the left labia. Fatty tissue was dissected medially and laterally to define a flap which could be rotated medially. A passage was created below the vaginal mucosa on the left side. The flap was able to be brought up through the defect and superimposed under the urethra. What is the CPT code for the Martius flap? ...
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Article Overview
This premium article explains coding considerations for a urologic and gynecologic reconstructive procedure involving excision of a urethral diverticulum and use of a Martius flap graft. It is aimed at coding professionals who need to understand the relevant CPT reporting for the procedure context and related surgical documentation. The article discusses the procedure scenario and the codes referenced for reporting the services.
Why This Topic Matters
Accurate coding for combined reconstructive and diverticulum excision procedures affects claim reporting, documentation alignment, and code selection in cases involving female urethral surgery.
What You Will Learn
- How the article frames a urethral diverticulum excision with Martius flap reconstruction
- What procedure context the article uses for CPT reporting
- How the coding discussion is organized around the surgical scenario and applicable CPT references
- What general documentation elements are relevant to reporting the procedures
Who Should Read This
- Medical coders
- Coding auditors
- Urology coders
- Gynecology coders
- Revenue cycle professionals
Codes Discussed
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