tci General Surgery Coding Alert - 2015 Issue 6

You Be the Coder: Watch for Adjacent Tissue Transfer Included Services

Question: If the surgeon excises a 2 x 4 cm carcinoma of the face, and closes the excision using adjacent tissue transfer, should we report 10404 and 11643? SuperCoder Subscriber Answer: No. You should report only 14040 (Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; defect 10 sq cm or less). Here’s why: The tissue transfer code includes the lesion excision (11643, Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm). Exception: There is one exception to this coding scenario. If your...

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