tci Outpatient Facility Coding Alert - 2013 Issue 5

Reader Question: Separate Charges for Pilonidal Cystectomy and Z-plasty Could Apply

Question:  A proctologist treated a patient for pilonidal cystectomy. A plastic surgeon was involved with the procedure to close the cyst via Z-plasty (he removed an 8 sq cm area of skin from the patient’s trunk). How do I code this procedure? West Virginia Subscriber Answer: Several codes could be considered for the cystectomy, depending on how complicated the removal was. Because a plastic surgeon helped with the case, you might select either 11771 (Excision of pilonidal cyst or sinus; extensive) or 11772 (… complicated) for the proctologist’s work. The correct code for the plastic surgeon...

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