tci General Surgery Coding Alert - 2013 Issue 1

Reader Question: Include Lesion Excision In Tissue Transfer

Question: Our surgeon excised a carcinoma of the face. He closed the excision using adjacent tissue transfer. Can I report 14040 and 11643? Tennessee Subscriber Answer: No. You should report 14040 (Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and/or feet; defect 10 sq. cm or less) for the closure using existing tissue transfer. In this case, you should report 14040 only. The lesion excision (11643, Excision, malignant lesion including margins, face, ears, eyelids, nose, lips; excised diameter 2.1 to 3.0 cm) is included in the tissue transfer. Exception: There is one...

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