AMA CPT® Assistant - 2015 Issue 3 (March)

Surgery: Digestive System (Q&A) (March 2015)

March 2015 page 9c Surgery: Digestive System Question: A surgeon performed a two-flap palatoplasty to repair a bilateral cleft palate. The surgeon repaired the hard palate using vomer flaps and during the same session performed an intravelar veloplasty to repair the soft palate. Should both code 42200, Palatoplasty for cleft palate, soft and/or hard palate only, and code 42235, Repair of anterior palate, including vomer flap, be reported? Answer: No. If the hard and soft palate (secondary palate) are repaired, report code 42200 alone. This includes the maneuvers necessary to effect closure of the hard and soft palate posterior...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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