AMA CPT® Assistant - 2023 Issue 7 (July)

Coding Clarification: Tissue-Grafting Procedure (15769) (July 2023)

July 2023 pages 11-13 Coding Clarification: Tissue-Grafting Procedure (15769) Five new codes (15769-15774) were established in the Integumentary System/Other Flaps and Grafts subsection of the Current Procedural Terminology (CPT®) 2020 code set. These codes describe different tissue-grafting procedures. However, the American Medical Association’s (AMA’s) Relativity Assessment Workgroup (RAW), which operates within the Specialty Society Relative Value Scale (RVS) Update Committee (RUC), was asked to evaluate whether code 15769 was reported with other codes (ie, closure of donor site codes) and whether it was used in non-facility settings. This article clarifies the site-of-service discrepancies associated with code 15769. Integumentary...

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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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