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advancement flap coding

Kathy Posted Thu 02nd of October, 2014 16:00:47 PM

How would the following be coded: rotation advancement flap coverage of right anterior chest wall defect (17x20 cm) repair of previous resection of chest wall for SCC. I created a curviliniear fusiform ellipse around the circular defect. This ellipse was then chased laterally & inferiorly to create a rotation advancement flap. The incision was then carried down to the pectoralis fascia w/out violating it. The entire crescentric wedge was then excised. I was then able to undermine the flap to the subareolar plane. I also undermined the superior margin. The flap was then elevated & rotated in a clockwise direction recruiting the laxity he had in his axilla. I then inset the flap w/4-0 vicryl fascial & deep dermal sutures. There was add'l dog ear in the inferolateral aspect of the flap which was then chased out further laterally. This incision did not connect w/his previous axillary node dissection incision. The incision was closed w/3-0 vicryl deep dermal sutures followed by 4-0 monocryl subcuticular, dressed w/xeroform, telfa & tegaderm.
Would 14001 be correct w/dx 173.52?

SuperCoder Answered Tue 07th of October, 2014 06:38:54 AM

Yes, code 14001 would be appropriate for the above procedure along with Dx- 173.52, Squamous cell carcinoma of skin of trunk, except scrotum.

Code 14001 represents 'Adjacent tissue transfer or rearrangement, trunk; defect 10.1 sq cm to 30.0 sq cm'.

Thanks !!

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