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Thread: bilateral advancement flap repair

  1. #1

    Default bilateral advancement flap repair

    AAPC: Back to School
    Hello all,

    Squamous cell carcinoma of the rt lower lip which left approx 40% defect of her lower lip. Releasing incisions were made in labiomental sulcus to allow bilateral advancement flaps to close. Deep tissues were reapprox using 2-0 Vicryl. The mucosa was reaprox using 2-0 Vicryl. The subq tissues reapprox unsing 1 interrupted 4-0 Vicryl.

    Just 14060 once per defect or 14060 and 14060-59 since stating bilateral and more than one incision?


  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default 40525?

    Not sure but wondering if the op note supports 40525 or 40527.

    And I think the incisions/flaps were bilateral to the deficit, but constitute one repair. If you are using the integumentary system codes, all the total sq cm together to get one code.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Join Date
    Apr 2007


    14060 just once.

  4. #4



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