Division and Inset of Flap

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November 1, 2018

Question:
A patient presents for division and inset of a neck-to-ear pedicle flap.  Should we report 15620 or 15630? 

Answer:
The CPT codes reported for the division and inset are chosen by the permanent inset site, not the donor site.  So in your case, CPT code 15630 (Delay of flap or sectioning of flap at eyelids, nose, ears, or lips) would be reported, not 15620 (Delay of flap or sectioning of flap at forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet).

*This response is based on the best information available as of 11/01/18.

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