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cpt 14041


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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 ?