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Exc Malig Lesion with AT and T advancement flap

H

Hopp

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Hi just needed some help with coding and Excison of malignant lesion and AT and T Advancement Flap
CPt Manual states that the Flap does not include exc. of the lesion; however when I enter the codes
it says disallow for the excision so I did add the 59 modifier and came up with clean claim. Would anyone be able to shed some light on this and just let me know if that's correct?
Thank you in advance
Hopp
 
Not sure where you're seeing that CPT says that the flap does not include excision - under the instructions for adjacent tissue transfers CPT directs that the "excision of a benign lesion or a malignant lesion is not separately reportable with codes 14000-14302", so it would not be correct to code the excision or to use a modifier 59 for the excision unless it was at a separate site from the lesion which was closed with the advancement flap.
 
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