Wiki cpt 14041

[Margret67]

Can someone explain to me:

In a current procedural coding expert 2019 book cpt 14040 ( adj tissue transfer or rearrangement ) states "EXCLUDES" excision of lesion with repair by adjacent tissue transfer( 11400-11446). Per Medicare CCI edits cpt 14040 (any tissue transfer or rearrangement) can't be billed with excision.

How should I understand this now ?

 

[iowagirl77]

14040 is the more comprehensive code. 14040 includes excision of the lesion (11400-11446). So unless the excision of the lesion is unrelated to the tissue transfer, you would not bill both.