AHA Coding Clinic® for HCPCS - 2011 Issue 3; ASK the EDITOR

Lip, nose, and upper lip vestibule reconstruction

A patient has a history of cleft lip and complete cleft palate that was previously repaired. The patient now presents with nasal airway obstruction due to a short columella, collapse of left ala, and scarring of the upper lip vestibule. It was recommended the patient undergo lip, nose, and upper lip vestibule reconstruction. We want to assign four CPT codes to describe this procedure. Specifically, we want to report CPT code 30460, Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate, including columellar lengthening; tip only, CPT code 15732, Muscle, myocutaneous, or fasciocutaneous flap; head and neck (e.g., temporalis, masseter muscle, sternocleidomastoid, levator scapulae), CPT code 40650, Repair lip, full thickness; vermilion only, and CPT code 40840, Vestibuloplasty; anterior, for the procedures performed. Our facility wants to know if these are the correct CPT codes for the upper lip reconstruction due to whistle deformity of the lip secondary to previously repaired cleft lip and palate, nasal reconstruction with V-Y advancement, vermilionplasty with Z-plasty, and anterior vestibuloplasty? We also are not sure if CPT code 30460 is appropriate for the nose reconstruction and if CPTcode 40650 should be reported in addition to the lip reconstruction. Please advise. ...

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