AAPC - Back to school
Results 1 to 3 of 3

Thread: rotational flap confusion

  1. #1

    Default rotational flap confusion

    AAPC: Back to School
    lesion was outlined, and 5 mm additional margins were outlined. This resulted in excision area of approximately 4.5 cm in size. Incisions were made through the skin down to the underlying bone and cartilage. Upon dissection, the mass appeared to involve the cartilage, but did not penetrate all the way through to the lining. A small, 1 cm area of nasal cartilage was removed with the specimen. It was tagged with a suture superiorly, and will be sent to pathology for further analysis. The nose was then undermined, as well as laterally onto to the cheek. Even with aggressive undermining, this was unable to achieve closure of the defect. An incision was then made in the subtarsal position, extended out to the lateral canthus, and extended laterally into a facelift incision. An additional excisionwas made in the nasal labial crease to remove soft tissue redundancy.

    14060 or 14040

    I am leaning towards14040 because he went up to the lower eyelid and across the cheek to make the flap large enough to cover the defect.

    any one have another opinion?

  2. #2


    Per CPT "Repair of primary and secondary defects requires assignment based upon the repair location and the approximate description of the area repaired." I would base the code on the location of the lesion excision since the rotational flap was performed to repair that location.

  3. #3


    Thats what I ended up doing. thank you so much for responding

Similar Threads

  1. Exostosis confusion and podiatry coding confusion
    By nsteinhauser in forum Podiatry
    Replies: 17
    Last Post: 12-17-2014, 09:32 AM
  2. Rotational Flap Closure??
    By KristinM522 in forum Podiatry
    Replies: 1
    Last Post: 06-06-2013, 11:06 AM
  3. rotational flap help??
    By BFAITHFUL in forum Dermatology
    Replies: 3
    Last Post: 03-14-2013, 10:11 AM
  4. TAVR w.rotational x-ray
    By mabar1571 in forum Cardiology
    Replies: 1
    Last Post: 09-06-2012, 11:35 AM
  5. Composite graft of cartilage, Melolabil flap, paramedian forehead flap
    By Janet Ralph in forum Medicare Regulations
    Replies: 0
    Last Post: 03-24-2010, 10:07 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.