Dermatology Coding Alert
Bundle Tissue Transfer, Lesion Excision
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Question: My dermatologist performed a lesion excision along with a tissue transfer. Which CPT codes should we report?
Kansas Subscriber
Answer: Based on your description, you should probably report 14040 (Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less) or 14041 (... defect 10.1 sq cm to 30.0 sq cm).
If the dermatologist performs a lesion excision along with an adjacent tissue transfer at the same site, you should not separately report the lesion excision, according to the September 1996 CPT Assistant.
"The guidelines of the Adjacent Tissue Transfer or Rearrangement section state that codes 14000-14300 include the excision (including lesion) and/or repair by adjacent tissue transfer or rearrangement," CPT Assistant states.
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