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Need help with Advancement Flaps

  1. Default Need help with Advancement Flaps
    Medical Coding Books
    Hi: We do not do alot of these so I would love some assistance

    The doctor performed and excisional debridment into the subcutance tissue of a total area of 40 sq centimeters, due to in infection around the area of a saphenous ven graft;11042 + 11045.

    This caused thinning and exporsure of the graft, therefore flaps were needed.

    After debridement advancement flaps were made of skin and subcutaneous tissue. Using a scalpel and also electrocautery, the skin flap was formed, first superiorly, the inferiorly and then a Foley Catheter with a large balloon was placed underneath these areas and inflated while stretching out the skin and subcutaneous tissue. There was adequate hemostatis and runing sutures were done along the whole skin length.

    I am looking at 14301

    Am I close??

    Thanks in Advance!

  2. #2
    11042 + 11045 x 1 + 14301 is correct
    Mickie Kummer, CPC, CPMA, CRC, CPC-I, AAPC Fellow

  3. Default
    Thank you so much M.J.!


  4. Default
    Don't forget to check the NCCI edits on this. 11042 is bundled into 14301. As 11045 is an add-on code to 1042, it also would be bundled.

  5. #5
    It is a staged procedure.
    Mickie Kummer, CPC, CPMA, CRC, CPC-I, AAPC Fellow

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