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complex rep. confused?

  1. #1
    Default complex rep. confused?
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    patient had excision of keloid on ear lobe 4mm
    then complex repair with S-Flap local tissue rearrangement closure

    i know i use 11444 for exc. keloid
    would code 13152 cover complex repair with S-Flap or would i have to use a code 14060?

    However instructions under code 14060 say dont use these codes with 114xxx


  2. #2
    Milwaukee WI
    Default Post the op note
    For an accurate response, please post the operative note.

    In general, however, as you've read in the CPT guidelines, adjacent tissue transfer (i.e. flap 140xx) INCLUDES the excision and repair.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    don't know how to post op report.
    but a S-flap closure was used, does that fall into (140xx0 category) too?
    thank you

  4. #4
    How do i post a op. report?
    This is what was done, hope you can help:

    Excision of Keloid & then complex closure & an S-Flap Local Tissue Rearrangement closure was done?? please help

  5. #5
    Milwaukee WI
    Default Just type it
    You can try copy and paste ... just be SURE to take out all patient IDENTIFIERS (including physician name and hospital name)
    When all else fails, type the op note into the thread.
    Hope that helps.

    F Tessa Bartels, CPC, CEMC

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