• 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 the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki How do you measure an advancement flap?

Create Wiki
C

cbellaga64

Guest
Messages
7
Best answers
0
My plastic surgeon performed only closure following a Mohs excision. The wound size was 1.6 x 1.8 cm. Bilateral tissue advancement of 2.0 x 2.0 cm was accomplished. The surgeon added the size of the wound plus the 2 flaps together for a total of 10.88 sq. cm. Should the wound size be added to this measurement?
 
Per CPT (professional edition) instructions, for codes 14000 - 14302, "the primary defect resulting from the excision and the secondary defect from flap design to perform the reconstruction are measured together to determine the code." This isn't like free grafts, where the code is determined by the size of the recipient area alone.
In your case - 1.6 x 1.8 = 2.88 sq cm for the primary defect.
2.0 x 2.0 = 4.0 sq cm for the secondary defect.
2.88 sq cm + 4.0 sq cm = 6.88 sq cm.
Page 78 of the CPT Professional Edition has a picture for 'adjacent tissue repairs' that explains it. Hope this helps.
 
You must log in or register to reply here.
Top