Surgery: Integumentary System (Q&A) (April 2016)

April 2016 page 8a Surgery: Integumentary System Question: Is code 42950, Pharyngoplasty (plastic or reconstructive operation on pharynx), reportable in addition to code 15757, Free skin flap with microvascular anastomosis, when a free flap is used to reconstruct both a neck and tongue defect (after laryngectomy or glossectomy)? The microvascular free flap is de-epithelialized and the skin paddle is used to complete the pharyngeal closure. The rest of the flap is used to complete the esophageal closure. Answer: No, CPT code 42950 should not be reported in addition to code 15757, when a free flap is used to reconstruct...

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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 April 2016 CPT Assistant Q&A explains a coding scenario involving free-flap reconstruction after laryngectomy or glossectomy and addresses whether one reconstructive procedure is separately reportable alongside another. It is aimed at coding professionals working in surgery and head and neck reconstruction who need guidance on CPT reporting relationships and bundled services.

Why This Topic Matters

The article helps coders understand how CPT assistant guidance addresses overlap between reconstructive procedures in complex integumentary/head-and-neck surgery cases, supporting more consistent reporting decisions.

Article Sections

  1. April 2016 page 8a

    Introductory publication information and the surgery specialty context for the Q&A.

  2. Surgery: Integumentary System

    A coding question and answer about reporting relationships in complex reconstructive surgery involving free-flap techniques and pharyngeal reconstruction.

What You Will Learn

  • The article’s general focus in CPT Assistant guidance for integumentary system surgery.
  • How the Q&A frames a reporting question involving complex reconstructive procedures.
  • The type of coding overlap analysis discussed for head and neck reconstruction cases.
  • The article’s relevance to surgical coding professionals and auditors.

Who Should Read This

  • CPT coders
  • Coding auditors
  • Revenue cycle professionals
  • Surgery coding specialists
  • Head and neck reconstruction coding staff

Codes Discussed


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