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ATT or complex closure for back mass excision

Tanesha Posted Tue 01st of October, 2019 16:14:26 PM
This appears to be complex, but not completely sure. It appears only undermining. (5 x 5 cm defect) Excerpt op note: An incision was made using a #10 blade and dissection was carried out sharply using tenotomy scissors. The mass was identified in its entirety and removed and sent to Pathology for permanent section. Excellent hemostasis was achieved using electrocautery and bipolar electrocautery. The adjacent tissues were then transferred into the surgical defect after an adequate amount of undermining was performed using tenotomy scissors and skin hooks.
SuperCoder Answered Thu 03rd of October, 2019 06:48:33 AM

Hello Tanesha,

Thank you for your question.


As per the above provided documentation, the report can be coded as a complex repair; but not as an adjacent tissue transfer.


In order to qualify the ATT, different terms that are synonymous with adjacent tissue transfer should be looked upon in the documentation. Example:

  • Z-plasty, W-plasty, V-Y-plasty;
  • Rotation and advancement flaps;
  • Bilobed flaps;
  • Rhomboid flaps; and
  • Double pedicle flaps.


For more information, kindly go through the under-mentioned link. Do let us know, in case you’re unable to access the newsletter.


Hope that helps!


Tanesha Posted Tue 08th of October, 2019 17:06:39 PM
Thank you. I figured it was complex, but wanted to be sure.
SuperCoder Answered Wed 09th of October, 2019 01:27:42 AM

Happy to Help!

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