AMA CPT® Assistant - 2008 Issue 7 (July)
Adjacent Tissue Transfer or Rearrangement (July 2008)
July 2008 pages 5-6 Coding Communication: Adjacent Tissue Transfer or Rearrangement Adjacent tissue transfer or rearrangement procedures (local flaps) are described by CPT codes 14000 - 14350 and represent local flaps, including rotation, transposition, and advancement. To perform adjacent tissue transfers, a tissue flap is created by surgically freeing the skin and underlying subcutaneous tissue and/or fascia. The base of the tissue flap remains connected to one or more borders of the donor site, thus maintaining the blood supply to the surgically created flap. The following table describes types of local or adjacent flaps. Type of flap ...
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Article Overview
This July 2008 CPT Assistant article covers adjacent tissue transfer or rearrangement procedures in the integumentary system and discusses how the topic is organized by body area and defect size. It also addresses related reporting issues for lesion excision, flap repair, and situations involving additional procedures at the same session. The article is intended for coders, billers, and other professionals working with surgical skin and soft tissue repair coding.
Why This Topic Matters
Adjacent tissue transfer coding can affect how flap procedures are categorized and whether related services are reported separately. Understanding the scope of this article helps readers evaluate whether it applies to surgical repair cases involving local flaps, lesion excisions, or multiple procedures.
Article Sections
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Coding Communication: Adjacent Tissue Transfer or Rearrangement
Introduces local flap procedures within the integumentary system and outlines the broad coding framework for adjacent tissue transfer or rearrangement.
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Flap types and measurement concepts
Summarizes common local flap categories and discusses how defect size is considered when selecting codes in this topic area.
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Related excision and repair reporting considerations
Describes the relationship between adjacent tissue transfer and other services that may occur in the same operative encounter, including broader reporting concerns.
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Code selection by anatomic area and defect size
Presents the general anatomic-area structure used to organize adjacent tissue transfer codes by defect size.
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Examples
Provides clinical scenarios illustrating how the topic is applied across different repair situations and body locations.
What You Will Learn
- How adjacent tissue transfer or rearrangement is categorized within CPT
- How anatomic area and defect size factor into code selection
- How flap procedures relate to lesion excision and other repair services
- What types of situations are illustrated in the article examples
Who Should Read This
- Medical coders
- Billing professionals
- Surgical practice staff
- Compliance and reimbursement teams
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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