tci General Surgery Coding Alert - 2014 Issue 6

Reader Question: Maneuver Tissue Transfer Rules

Question: When our surgeon excises a melanoma of the face and closes using adjacent tissue transfer, can we report 14040 and 11643? Georgia Subscriber Answer: No, you should not report both 14040 (Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; defect 10 sq cm or less) and 11643 (Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm). You should report only 14040 for the closure using existing tissue transfer. Here’s why: The lesion excision (11643) is included in the tissue transfer, according...

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