Okay ... after reading this three times I come up with
1) defect of 1.5 x 1.4 = 2.1 cm PLUS flap of 1.5 x 3.5 = 5.25 cm // added together equal 7.35 cm for the first repair of the original defect. 14060
2) repair of secondary defect from creating the first flap
3.5 x 1.3 = 4.55 cm 14060-59
3) repair of third defect from creating the second flap
1c x 2cm = 2 cm 14060-59
And, of course, now I'm second guessing myself because I just cannot remember if I'm supposed to be adding all these square centimeters together to come up with 14061 or if I'm supposed to code each separately with the -59 modifier to indiciate separate incisions.
I've put in a call to our senior surgical coder who handles plastic surgery ... will update when I get info.
Hope that helps.
F Tessa Bartels, CPC, CEMC
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