tci Part B Insider - 2007 Issue 9

Part B Coding Coach: When Wound Repair Isn't Enough, Turn to Tissue Transfers--6 Steps Show You How

You won't report lesion excision separatelyWhen the surgeon performs an adjacent tissue transfer (for instance, to close a large or irregular wound following lesion removal), you must be sure to add together the area of both the primary and secondary defect to choose the correct code. But that's only the beginning: Successful tissue-transfer coding requires that you follow at least six steps.1. Differentiate Transfers From Repairs When reading physician documentation, you must know what separates tissue transfer (14000-14300) from closures as described by repair codes 12001-13160.In a nutshell: During simple, intermediate or complex repair (12001-13160), the surgeon...

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