Surgery: Digestive System (Q&A) (March 2015)

March 2015 page 9c Surgery: Digestive System Question: A surgeon performed a two-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. Should both code 42200, Palatoplasty for cleft palate, soft and/or hard palate only, and code 42235, Repair of anterior palate, including vomer flap, be reported? Answer: No. If the hard and soft palate (secondary palate) are repaired, report code 42200 alone. This includes the maneuvers necessary to effect closure of the hard and soft palate posterior...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This short March 2015 CPT Assistant Q&A explains how a specific cleft palate repair scenario is discussed from a coding perspective. It is intended for coders and billers who work with digestive system surgery and need to understand the article’s scope, including palate repair terminology, code selection context, and the anatomical distinctions referenced in the guidance.

Why This Topic Matters

Articles like this help coding professionals recognize when a surgical scenario is being interpreted under CPT guidance and whether the discussion applies to a case involving palate repair and cleft palate reconstruction.

Article Sections

  1. March 2015 page 9c

    Publication information and the article’s single Q&A topic related to digestive system surgery coding guidance.

What You Will Learn

  • The article’s focus within CPT Assistant’s digestive system surgery Q&A format.
  • How the guidance addresses a cleft palate repair scenario in general coding terms.
  • The anatomical context used to frame the coding discussion.
  • intended_audiences
  • topics

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing staff
  • Clinical documentation staff

Codes Discussed


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