AMA CPT® Assistant - 2014 Issue 12 (December)

Surgery: Digestive System (Bonus Q&A) (December 2014)

December 2014 page 18b Surgery: Digestive System Question: A physician performs a primary lip and nose repair on an infant for cleft lip and palate deformity. Does the assignment of code 40700, Plastic repair of cleft lip/nasal deformity; primary, partial or complete, unilateral, include the lip repair as well as repair and reshaping of the nose (rhinoplasty)? Answer: No. Code 40700 does not include cleft lip rhinoplasty, which may be reported separately with codes 30460 or 30462. In a cleft lip repair, because the defect is closed, the nostril sill it is re-established and the nostril is narrowed. This...

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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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