tci General Surgery Coding Alert - 2012 Issue 8

You Be the Coder: Look to Relevant Codes for Payment

Question: Our surgeon treated a patient with an amputated right ear. The surgical procedure involved microscopic replantation of the ear with microvascular anastomosis, and insetting and closure of cartilage, subcutaneous tissue and skin. How should we code the procedure?Kansas SubscriberAnswer: You'll probably need to use an unlisted procedure code, such as 20999 (Unlisted procedure, musculoskeletal system, general). You can price the code based on reimbursement for similar procedures. Your surgeon will need to be part of deciding how complex the procedure was, and which CPT® codes represent a similar level of work for pricing purposes.Although CPT® provides...

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