Coding skin cancer removal from ear with delay of pedicle flap

[Pattyh65]

I'm not sure how to code. Dr. removed a cancer from patients ear then constructed a pedicle flap with delayed inset. Do I code the surgery with the skin lesion removal and formation of pedicle flap and the delay of flap at post op when the wound is closed?

 

[JenniferB7]

You are correct. You will code the excision and pedicle flap separate from the delay inset. The date of service will be the date they are performed. You will need a 58 modifier for the delayed inset of flap.

Here is an article that explains this really well: https://www.supercoder.com/my-ask-an-expert/topic/divide-cross-finger-flaps

Hope that helps!