Squamous Cell Carcinoma Excision



My doctor documented the following: Excision of a 1.5 cm squamous cell carcinoma from the neck with wide undermining to advance the tissues and a layered closure. Can we use an adjacent tissue transfer code, 14040, for this procedure?


Absolutely not. “Wide undermining to advance tissues” is not an appropriate use of an adjacent tissue transfer code. Use a complex repair code (131xx) instead of the adjacent tissue transfer code; you may also report a CPT code for the skin lesion removal in this example.