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axillary hidradenitis and raised flaps for closure

Tanesha Posted Wed 10th of July, 2019 17:27:04 PM
Would you only code 11451-50 or the adjacent tissue codes (14301, 14302 x 3)? Is the "raise of subq flaps" enough to code adjacent transfer as add'l incisions are not mentioned. EXCERPT: Using a #15 blade scalpel, a 10 x 10 cm ellipse of diseased specimen was excised from above the right axillary fat pad with a combination of sharp and blunt dissection. Attention was turned to the left side. 12 x 10 cm ellipse specimen was removed in nearly identical fashion.  Defects measured ~10 x 15 cm. Posterior and anterior subcutaneous flaps were raised from the wound bed to create laxity for wound closure on both sides. The wounds were closed in multiple layers with interrupted 3-0 vicryl sutures, starting by re-approximation of subcutaneous flap edges, followed by dermis. Skin was closed with running 3-0 monocryl suture. 15F CWV drain was placed deep to the created flaps in attempt to reduce risk of seroma formation.
SuperCoder Answered Thu 11th of July, 2019 05:32:45 AM
AAE does not provide coding reviewing for operative reports and chart notes SuperCoder offers SuperCoding on Demand SOD http www supercoder com coding-answers coding-on-demand for coding reviewing of an operative report or chart note and you can contact - or e-mail customerservice supercoder com for more information nbsp On the...
Tanesha Posted Thu 11th of July, 2019 08:40:40 AM
Thank you. My eyes saw the raised flaps and thought automatically the ATT, but I see your point as the flaps were raised from the wound bed, therefore, ATT wouldn't apply.
SuperCoder Answered Fri 12th of July, 2019 05:11:11 AM

Hi Tanesha,

Yes, you are right. As suggested earlier, check the complete documentation and select the procedure accordingly. Also, check the modifier 22 for better billing.

Wish you the best reimbursement!

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