• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below.
  • We're introducing new features and a new look to make the forums easier to use and more valuable to you. See what's new and let us know what you think!

Distal hypospadias repair, chordee repair & adj tissue transfer

mkmgt001

Networker
Messages
75
Location
Green Bay, WI
Best answers
0
Could someone please give me their opinion? CCI allows CPT 54360 (Plastic operation on penis to correct angulation & 14040 (Adjacent tissue transfer) to be reported with CPT 54324 (1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg. flip-flap, prepucial flap)). Modifier -59 isn't even required. Based on the description of CPT 54324, I would have guessed that both CPT 54360 (chordee repair) & 14040 (adj tiss trans) would be unbundled. Should I allow these 3 codes to be reported together? If I use CCI as my coding resource, I guess I should, but this seems wrong.....

Thanks much!
Mary
 

kalford

New
Messages
1
Best answers
0
Could someone please give me their opinion? CCI allows CPT 54360 (Plastic operation on penis to correct angulation & 14040 (Adjacent tissue transfer) to be reported with CPT 54324 (1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg. flip-flap, prepucial flap)). Modifier -59 isn't even required. Based on the description of CPT 54324, I would have guessed that both CPT 54360 (chordee repair) & 14040 (adj tiss trans) would be unbundled. Should I allow these 3 codes to be reported together? If I use CCI as my coding resource, I guess I should, but this seems wrong.....

Thanks much!
Mary
Hey Mary,


I realized this years later but did you get an answer for this? I am having issues where some carriers are not paying them together although the codes dont bundle. Just seeing if you gotten any feedback


Thanks
 
Messages
4
Location
South Denver
Best answers
0
Hypospadias repair

Per the American Urological Association, all hypospadias repairs include any and all chordee or angulation corrections. 54300 should not be reported separately. 14040 can be used if the surgeon creates a Byar's flap or a de-epithelialized scrotal flap as that is not included in the cpt descriptions. I will also note that 54300, 54360, or 54304 should not be added for a dorsal plication stitch or a Nesbitt wedge. These are surgical techniques that are considered inclusive of a penile plastic repair procedure. Hopefully you've both found the answer to this question but I spent hours upon hours researching this to find the right answer (and would have given my left toe to have found a response in a thread like this) so hopefully anyone else that comes along will benefit from the information. :)

-Liz C.
Urology Coder
 
Top