Category: <span>Plastic Surgery</span>

Evaluation and Management Codes 2021 – Do I Have to Use the Revised Guidelines?
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Evaluation and Management Codes 2021 – Do I Have to Use the Revised Guidelines?

September 17, 2020 Question: I work with a plastic surgeon and we don’t see many Medicare patients. The plastic surgeon believes the revised 2021 E/M guidelines will not impact our office practice because of our low Medicare volume. Is this correct? Answer: This is not correct! The revised documentation requirements are from CPT – the...

Tissue Expander Exchange with Breast Reconstruction Revision
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Tissue Expander Exchange with Breast Reconstruction Revision

September 3, 2020 Question: At the time of the second stage tissue expander exchange, my plastic surgeon wants to bill 19380 for either liposuction, removing excess scar tissue, removing redundant excess skin or removing adipose tissue. “The lateral aspect of the mastectomy scar is excised along with redundant skin and subcutaneous tissue to revise the...

Significant Undermining of Free Flap Donor Site
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Significant Undermining of Free Flap Donor Site

August 6, 2020 Question: My doctor documents “significant undermining” to the free flap donor site (radial forearm) for an advancement flap. Can I also code an adjacent tissue transfer code such as 14060 for the closure? Answer: Actually, undermining is not considered an adjacent tissue transfer code (14xxx). CPT guidelines require a secondary defect to...

Excision External Ear
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Excision External Ear

June 25, 2020 Question: I did a partial excision of the left ear wedge with a layered closure. Can I code 69110 and a complex repair code since 69110 says “simple repair”? Answer: CPT 69110 includes the direct closure (bringing wound edges together) because it says “simple repair” so that would include a simple, intermediate...

DIEP Co-Surgery
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DIEP Co-Surgery

May 28, 2020 Question: Hello! I have a plastic surgery question. I perform DIEP surgeries and when I do a bilateral DIEP I have a colleague scrub with me, and one of us will do the belly dissection while another does the chest dissection. We are both plastic surgeons. At my previous institution we were...

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