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When to code harvest for skin grafts

  1. #1
    Default When to code harvest for skin grafts
    Medical Coding Books
    1.)When a free skin graft is performed and no repair is done on donor site. I don't code harvest. Correct?

    2.)If a harvest done on one day, sent to lab for further growth, and grafted on the patient on another date, would I have a harvest code with modifier -58, and a graft code?

    Thanks,
    Karen S

  2. #2
    Location
    Milwaukee WI
    Posts
    4,466
    Default Grafts & Harvest
    Q 1) You are correct

    Q 2) The 58 modifier is used on the subsequent procedure when performed within the global period of the earlier procedure.

    Hope that helps.
    F Tessa Bartels, CPC, CEMC

  3. #3
    Default
    Thanks so much Tessa
    Karen S

  4. #4
    Default
    I don't do many skin graft...but can you explain Q#1, please Tessa?...thank you
    NoRaX

  5. #5
    Location
    Milwaukee WI
    Posts
    4,466
    Default Skin Grafts
    Skin grafts are coded by the recipient site and include harvesting of the autograft.

    The only time you would use CPT 15040 for harvesting skin would be when you are going to use that skin for tissue cultured skin autograft ,,, i.e. you are not immediately using the graft.

    If the donor site requires a skin graft or local flap to repair the donor site, you can code those repairs separately.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  6. #6
    Default
    Thank you for replying!
    NoRaX

  7. #7
    Default Harvesting Skin Graft
    How to code for Dr. A who obtains the full thickness skin graft from the neck, for Dr. B to
    perform the actual graft to the ear, in the same OR session.
    Problem is that Dr. A is billing complex closure 13132, but Dr. B. will be billing for the ear graft. These are the codes billed by Dr. A:

    21016 Resection for tumor (ear)
    13132 Repair complex neck
    38510 Bx/exc Lymph Deep Cervical (Upper Neck)
    38510 Bx/exc Lymph Deep Cervical (Supraclavicular )
    38900

    It appears the medical necessity is missing for the 13132 without the harvesting code.
    Can anyone advise me on this? I don't know the code Dr. B. will be using.

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