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Latissimus Dorsi Myocutaneous Flap of Face

Denise Posted Wed 10th of July, 2019 16:55:17 PM
I am in need of help! My doctor did the following procedure: Reconstruction right neck, right mandible, right side of the face, and the lower lip. Latissimus Dorsi myocutaneous flap rotation with a release of contracture in the right cheek. Rotation of lower lip to close defect. He came in as the reconstructive doctor of a patient that had large right side face and neck defect following squamous cell carcinoma excision from the anterior floor of mouth. I have found the codes 14040 - L90.5, C04.9 but Cfeel there should be another code. Also, when put in supercoder it states the C04.9 does not match the cpt code. Please help!
SuperCoder Answered Thu 11th of July, 2019 08:14:47 AM
Hi Denise Code with the range between CPT to depending on the area involved nbsp As per above documentation appropriate code seems to be reason being Latissimus dorsi is in the upper back thoracodorsal region Also extensive immobilization and or repair of the donor site is reported separately Feel free...
Denise Posted Thu 11th of July, 2019 15:54:31 PM
He took the muscle from the back. and used it to reconstruct the neck and right side of face. Please I am new to this type of coding and need help. What would you use for repair of the donor site.
SuperCoder Answered Fri 12th of July, 2019 10:07:02 AM
Hi Denise For repair of donor site we will see documentation for the technique used for microvascular flaps see - for flaps without inclusion of a vascular pedicle see - for nbsp adjacent tissue transfer flap see - Also A repair of a donor site requiring a skin graft or...

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