Surgery: Integumentary System (Q&A) (October 2017)
October 2017 page 9
Surgery: Integumentary System
Question: Is it appropriate to report Current Procedural Terminology (CPT®) code 14000 or 14001 for a subcutaneous advancement flap for closure after a lumpectomy (or partial mastectomy)?
Answer: No, it is not appropriate to report either code 14000, Adjacent tissue transfer or rearrangement, trunk; defect 10 sq cm or less, or 14001, Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm, in addition to code 19301, Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantectomy, segmentectomy), because simple, intermediate, and complex layered closure is included in the...
Note: The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.
Article Overview
This October 2017 CPT Assistant Q&A covers two integumentary system coding topics: reporting of adjacent tissue transfer in relation to partial mastectomy procedures, and reporting of a micronized or powdered human allograft product under CPT and HCPCS. It is useful for coders, billers, and compliance staff working with surgical coding guidance, CPT integumentary procedures, and skin substitute-related services.
Why This Topic Matters
The article helps readers understand how CPT guidance applies to selected integumentary procedures and related products, supporting more accurate code assignment and compliance review in surgical coding workflows.
Article Sections
Question and Answer on Closure After Lumpectomy
Addresses a breast surgery coding question involving closure services in relation to a partial mastectomy procedure and related CPT guidance.
Question and Answer on Micronized/Powdered Human Allograft
Discusses reporting considerations for a powdered or micronized human allograft product and its relationship to skin substitute application guidance in the CPT and HCPCS coding systems.
What You Will Learn
The scope of integumentary surgery coding questions addressed in the article
How the article frames reporting concerns for breast surgery closure services
How the article frames reporting concerns for a powdered human allograft product
Which CPT and HCPCS coding areas are discussed in the guidance
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