tci Part B Insider - 2018 Issue 3

Part B Coding Coach: Know the Differences for Complex Repair, Adjacent Tissue Transfer Coding

Tip: Look beyond the CPT® rules to avoid denials. CPT® code guidance is great, but you'll need more than basic guidelines to code complicated procedures. When you are attempting to discern between a complex repair and an adjacent tissue transfer, you've got to implement all the tools at your disposal to identify the correct code. And when you don't have all the answers, you've got to know exactly where to look. As you will see with these two examples, you'll need to utilize your cumulative knowledge of procedural coding guidelines, anatomy/terminology, and Correct Coding Initiative (CCI) edits in order...

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