AHA Coding Clinic® for HCPCS - 2023 Issue 1; Ask the Editor

Correction: CPT code assignment based on a diagnosis

The coding advice published in Coding Clinic for HCPCS, First Quarter 2014, Page 2, regarding the statement that, “Code assignment is never based on the diagnosis that is listed as the reason for the procedure”, requires correction. There are times when the procedure code assignment is affected by the diagnosis.For example, when reporting CPT code 15777, Implantation of biologic implant (eg, acellular dermal matrix) for soft tissue reinforcement (ie, breast, trunk) (List separately in addition to code for primary procedure), the presence of “ie” in the parenthetical, indicates this code is only reported for implantation of...

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