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Outpatient Facility Coding Alert

Reader Question:

Consider Patient History Before Reporting 42225

Question: How should I code an operative note note that involves the surgeon performing a partial flap takedown as part of a revision of a pharyngeal flap procedure performed two years prior? Montana Subscriber Answer: The physician may only perform a palatoplasty with attachment of a pharyngeal flap once; therefore, code 42225 (Palatoplasty for cleft palate; attachment pharyngeal flap) is [...]