tci Outpatient Facility Coding Alert - 2014 Issue 1

Reader Question: Adjacent Tissue Transfer Includes Lesion Removal

Question: If the dermatologist performs an adjacent tissue transfer, can I also code for a lesion removal? Georgia Subscriber Answer: No. Unlike intermediate or complex closures, you cannot report lesion removal if the dermatologist performed adjacent tissue transfer, because the tissue transfer is part of the lesion removal. After the scar is excised and debrided, the dermatologist performs an adjacent tissue transfer to repair the wound.  If you report adjacent tissue repair, the tissue transfer includes the repair, so don’t code separately for the tissue repair. You should code the tissue transfer procedure as 14040 (Adjacent tissue...

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