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Thread: Coding multiple skin grafts

  1. #1

    Default Coding multiple skin grafts

    AAPC: Back to School
    Can anyone outline how multiple FTSG or STSG applied to multiple areas should be coded. We have sources that tell us the graft area dimensions should be combined if they are in the same anatomical group in CPT (similar to the closure/laceration repairs) and we have not been able to find a definitive source that directs us how these should be coded.

    We have looked in NCCI, CPT Assistant to no avail. Any sources for this information would be greatly appreciated.

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Multiply first, then add

    FIRST ... they have to be the same type of graft (either FT or ST), and on the same body area.

    So, for example... you perform TWO split thickness skin grafts on the back.
    Graft # 1 measures 6cm x 8cm. Graft # 2 measures 2cm x 5cm.

    6cm x 8cm = 48 sq cm
    2cm x 5cm = 10 sq cm

    48 + 10= 58 sq cm So you would use 15110 ONCE

    Of course if the patient is UNDER age 10, you go by % of TBSA grafted.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC
    Last edited by FTessaBartels; 04-30-2010 at 09:42 AM.

  3. #3

    Default Can you give me reference?

    Thanks for the response....Can you quote me your reference/definitive source?

  4. #4
    Join Date
    Apr 2007
    Milwaukee WI

    Default CPT Guidelines

    Spelled out in CPT guidelines.

    As for how to arrive at square centimeters ... this is basic math.

    F Tessa Bartels, CPC, CEMC

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