Otolaryngology Coding Alert

Bundle Tissue Transfers with Debridement, Repair, and More

Tissue transfers also fare prominently among CCI 16.0's non-mutually exclusive edits. Other common bundles include -- along with debridement -- intermediate repair, complex/simple repair, excision, skin graft, and moderate sedation. Fact: Non-mutually exclusive edits pair codes for two services that physicians often perform during the same session. CCI lists one code as the comprehensive procedure -- meaning it's considered the larger procedure -- and the second code as the component, which is a piece of the comprehensive. You should now bundle 14301 (Adjacent tissue transfer or rearrangement, any area; defect 30.1 sq cm to 60.0 sq cm) with: • Debridement codes 11000 (Debridement of extensive eczematous or infected skin; up to 10% of body surface) and 11040-11042 (Debridement; skin ...). • Complex repair codes 13131-13132 (Repair, complex, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet), 13120 (Repair, complex, scalp, arms and/or legs; 1.1 to 2.5 cm for the complex repair of [...]
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