Fascia Lata Graft Denials

Fascia Lata Graft Denials

February 14, 2019

We routinely bill 69631 (tympanoplasty) and 20922 (temporalis fascia graft).  We’ve been paid but now we’re being asked to give money back.  Can you help?

A thigh fascia lata graft was not harvested to support 20922.  Rather, if a temporalis fascia graft is harvested through a separate skin incision then you may separately report 20926 (tissue graft).  However, if the tympanoplasty is performed via post-auricular incision then 20926 is not separately reported for the temporalis fascia graft since it is considered a “local” graft.

*This response is based on the best information available as of 2/14/19.


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