AMA CPT® Assistant - 2012 Issue 7 (July)

Surgery: Musculoskeletal System (Q&A) (July 2012)

July 2012 page 12b Surgery: Musculoskeletal System Question: Would it be appropriate to additionally report CPT code 21600, Excision of rib, partial, when performed with breast reconstruction involving a free flap? Answer: No. CPT code 19364, Breast reconstruction with free flap, includes a partial rib resection; thus, the rib excision would not be separately reported. Code 19364 also describes the elevation of the flap, isolation of donor flap vessels used for microvascular stenosis, transfer of the flap to the recipient site, dissection and isolation of recipient vessels used for microvascular anastomosis, partial rib resection to access internal mammary vessels...

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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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