Charlene Posted Tue 29th of October, 2019 15:29:06 PM
Plastic surgeon thought patient had a venous malformation of upper lip, but upon exploration, the labial artery was found displaced superficially causing a fullness of upper lip appearance. The incision was made inside the upper lip. The orbicularis muscle was separated and the labial artery was found to be herniated into the subcutaneous space causing the bulge. The artery was dissected our from surrounding orbicularis muscle. The muscle was placed beneath the artery putting it in a deeper position. The muscle and mucosal surface were closed. Is this procedure a tissue rearrangement of the lip 14060 or mouth 14040?
SuperCoder Answered Wed 30th of October, 2019 03:36:05 AM
CPT code 14060 would be more appropriate code. Orbicularis oris muscle was positioned beneath the artery to prevent it from herniation. Since the surgical area involved is lips, you should use CPT code 14060.