tci General Surgery Coding Alert - 2021 Issue Q4

You Be the Coder: Adjacent Tissue Transfer Stands Alone

Question: Our surgeon performed an excision of a 0.5 x 0.6 cm basal cell carcinoma on the patient’s nose with 0.1 cm margins extending into the subcutaneous fat, creating a 0.8 x 0.7 cm defect. The surgeon closed the defect with a bilobed flap. How should we code this? Georgia Subscriber Answer: A bilobed flap is an adjacent tissue transfer. The area of the defect is 0.8 x 0.7 cm, which is 5.6 square cm. That means you should report code 14060 (Adjacent tissue transfer or rearrangement, eyelids, nose, ears...

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