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advancement flap

  1. D

    Wiki Laparoscopic hernia repair with abdominal wall reconstruction with bilateral rectus fascia flaps

    Hello, Our office is wondering how everyone is coding for a laparoscopic hernia repair with abdominal wall reconstruction with bilateral rectus fascia flaps (i.e. flap 15734 open code)? We have tried to use the unlisted code 49659 and equaling it to the hernia CPT and 15734 codes and they deny...
  2. A

    Wiki Coding 42415 and 14040 together?

    Can cpt codes 42415 (excision of parotid tumor with dissection and preservation of facial nerve) and 14040 (advancement flaps) be coded together? I don't see NCCI edits for these codes but I wanted to check if 42415 does include the advancement flaps.
  3. M

    Wiki 14301 denied as not med necessary

    Patient defect after Mohs was determined by surgeon to require advancement flap 14301. Aetna requested notes on the case 2 times. Notes and photos were sent to support med nec. of 14301. Aetna denied the 14301 as not medically necessary. OrthoNet advised we should have billed complex repair...
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