Excision with ATT

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June 28, 2018

Question:
My physician wants to code 14021 and 11606 for an excision and rotation flap to close an 18sq cm defect.  Is this correct?

Answer:
When adjacent tissue transfer or rearrangement is performed in conjunction with excision of a lesion, the lesion excision is not reported separately.  The only code you should report is CPT 14021 (Adjacent tissue transfer or rearrangement, scalp, arms and/or legs; defect 10.1 sq. cm to 30.0 sq. cm)

*This response is based on the best information available as of 06/28/18.

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