tci General Surgery Coding Alert - 2015 Issue 1

Reader Question: Document Donor Site to Code Advancement Flaps

Question: Our surgeon closed a deep abdominal wall defect that was approximately 440 sq. cm. using 300 sq. cm. flaps on each side. Should I report just the repair, or can I separately code the advancement flaps? FloridaSubscriber Answer: Given the limited description you present, the best code choice appears to be 15734 (Muscle, myocutaneous, or fasciocutaneous flap; trunk). Because the description is not clear whether the advancement flap is part of the primary repair or a repair of the secondary defect, you don’t have adequate documentation to justify separately coding the advancement flap in this case. Flap...

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