Surgery: Respiratory System (Q&A) (August 2012)

August 2012 page 13 Surgery: Respiratory System Question: During a nasal septum perforation repair, bilateral mucoperichondrial flaps are elevated superiorly and inferiorly around the nasal septal perforation and elevated on the inferior aspect. The bilateral inferior turbinate flaps are elevated using an anteriorly based pedicle with a combination of a sharp dissection with a #15 blade and Cottle dissection. The flap is then fully elevated, anteriorly transposed, and sewn to the superior aspect of the perforation. Is it appropriate to report code 14060, Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less...

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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 article is a short CPT Assistant Q&A from the respiratory surgery section. It focuses on coding review for a nasal septal perforation repair scenario and discusses whether an additional adjacent tissue transfer code is appropriate alongside the primary repair code. It is useful for coders, auditors, and billers working with ENT and nasal reconstructive procedures who want to understand how the article frames code selection for this type of case.

Why This Topic Matters

Respiratory and ENT surgical coding often involves closely related procedures that can be difficult to separate correctly for reporting. This article helps readers identify the coding topic covered and the kind of guidance discussed in the Q&A format without replacing the full premium content.

Article Sections

  1. August 2012 page 13

    A single Q&A item concerning coding review for a nasal septal perforation repair case in the respiratory surgery context.

What You Will Learn

  • The respiratory surgery coding topic addressed in this Q&A
  • How the article frames a question about reporting a nasal septal perforation repair scenario
  • The general type of coding comparison discussed for flap-based nasal procedures
  • Why the article may be relevant for ENT and surgical coding review

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing staff
  • ENT/otolaryngology practices
  • Compliance reviewers

Codes Discussed


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