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Tara Posted Fri 28th of April, 2017 15:34:45 PM
OUR PHYSICIAN DID A TRANSPOSITION FLAP WITH CARTILAGE GRAFT. THE GRAFT IS FROM THE EAR TO THE NOSE. THE FINAL REPAIR AREA WAS 6.5 x 5.0 CM. MY QUESTION IS CAN HE BILL BOTH 21235 FOR THE CARTILAGE GRAFT AND 14301 FOR THE TRANSPOSITION FLAP? THANK YOU FOR YOUR TIME. TARA
SuperCoder Answered Mon 01st of May, 2017 04:26:40 AM

Hello

In your scenario, only one CPT code should be billed, i.e. 21235, as the surgeon is only performing autogenous cartilage grafting. In autogenous cartilage grafting, the surgeon takes the cartilage graft from the patient's own ear and attaches it to the nose or ear to repair the deformity, injury, congenital defect, etc. But in CPT code 14301 (adjacent tissue transfer procedure), the surgeon takes the flap of skin just adjacent to the wound to be repaired. In this, the flap of skin remains connected to its origin and just transpositioned to the adjacent wound.

HOPE THIS HELPS!

SuperCoder Answered Mon 01st of May, 2017 04:26:41 AM

Hello

In your scenario, only one CPT code should be billed, i.e. 21235, as the surgeon is only performing autogenous cartilage grafting. In autogenous cartilage grafting, the surgeon takes the cartilage graft from the patient's own ear and attaches it to the nose or ear to repair the deformity, injury, congenital defect, etc. But in CPT code 14301 (adjacent tissue transfer procedure), the surgeon takes the flap of skin just adjacent to the wound to be repaired. In this, the flap of skin remains connected to its origin and just transpositioned to the adjacent wound.

HOPE THIS HELPS!

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