AMA CPT® Assistant - 2014 Issue 7 (July)

Surgery: Digestive System (Q&A) (July 2014)

July 2014 page 8c Surgery: Digestive System Question: Our surgeon performed 2-flap palatoplasty to repair a bilateral cleft palate. The surgeon repaired the hard palate using vomer flaps and during the same session performed an intravelar veloplasty to repair the soft palate. Alloderm was placed over the nasal lining around the junction of the soft and hard palate. Should we report both 42200 and 42235, or should we report 42200 alone (along with the unlisted code for the Alloderm placement)? Answer: If both the hard and soft palates (secondary palate) are repaired concomitantly, report code 42200, Palatoplasty for cleft...

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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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