Adjacent Tissue Transfer (14xxx)


August 21, 2014

I’m reading an operative report and the surgeon says she did “undermining of the incision to close a keloid excision defect.” She wants to use an adjacent tissue transfer code. This documentation doesn’t seem to satisfy the CPT description. What do you think?

We agree with you that the documentation is not sufficient to support an ATT code (e.g., 14xxx). “Undermining” does not constitute use of an adjacent tissue transfer code. CPT says a scar revision is reported using only a complex repair code.

*This response is based on the best information available as of 08/21/14.