In Coding
Apr 21st, 2019
Question: In researching CPT® code 49905 Omental flap, intra-abdominal (List separately in addition to code for primary procedure), I found an article in AAPC’s Knowledge Center, dated 10/01/2013, titled “Omental Pedical Flaps,” that states this is an open surgical code. Does this mean I cannot this add-on code for laparoscopic procedures? Answer: Code 49905 describes the use ...
In Coding
Sep 10th, 2018
For non-Medicare payers, temporary codes provide the most accurate reporting and reimbursement of these clinically complex procedures. Unlike other flaps used for breast reconstruction, deep inferior epigastric perforator (DIEP) flaps preserve muscle function at the donor site, improving the patient’s core strength and reducing the risk of hernia after surgery. Conflicting and outdated guidelines m...
In Coding
Dec 1st, 2013
Dear John, Q. There’s been ongoing confusion in our office regarding the proper coding of deep inferior epigastric perforator flap (DIEP) for breast reconstruction. Should we be using HCPCS Level II code S2068, or CPT® 19364? May we also code separately for partial rib resection (21600) when performed as part of the reconstruction? A. The ...
Jul 1st, 2012
By Ken Camilleis, CPC, CPC-I, CMRS   Add-on code +15777 Implantation of biologic implant (eg, acellular dermal matrix) for soft tissue reinforcement (eg, breast, trunk) (List separately in addition to code for primary procedure) was added to the “Other Flaps and Grafts” category of the Integumentary System, Repair subheading in CPT® 2012 to describe the ...