AMA CPT® Assistant - 2019 Issue 6 (June)

Surgery: Integumentary System (Q&A) (June 2019)

June 2019 page 14a Surgery: Integumentary System Question: A patient presents for bilateral nipple-delay procedure prior to a future nipple-sparing mastectomy. What is the appropriate code assignment for the nipple-delay procedure performed? Answer: Code 15600, Delay of flap or sectioning of flap (division and inset), at trunk, and an additional unit of code 15600 with modifier 59, Distinct procedural service, appended to indicate that the procedure was performed bilaterally. Because code 15600 is a code for the trunk and because the trunk is not a bilateral organ, it would be inappropriate to append modifier 50, Bilateral procedure, in 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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