tci General Surgery Coding Alert - 2018 Issue 9

You Be the Coder: Include Excision in Z-Plasty

Question: Our surgeon performed a scar revision procedure on the patient’s right forearm that involved excising a large existing scar. The excision created a defect of 14.3 sq cm that the surgeon closed with a Z-plasty. Can we report 11406 for the excision and 14021 for the rotation flap? Georgia Subscriber Answer: No, you should not report both 11406 (Excision, benign lesion including margins, except skin tag (unless listed elsewhere), trunk, arms or legs; excised diameter over 4.0 cm) and 14021 (Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq cm to...

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