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14000 and 19301 for Partial Mastectomy?
Should cpt code 14000 ADJACENT TISSUE TRANSFER OR REARRANGEMENT, TRUNK; DEFECT 10 SQ CM be billed with cpt code 19301 MASTECTOMY; PARTIAL. Insurances tend to disallow it stating it is included in 19301. This is how our surgeon describes 14000 a parenchymal flap advancement was used to close there is minimal breast parenchyma left at the inferior margin. Advancing this into the lumpectomy cavity does create some distortion along the inframammary fold. Therefore, the breast tissue both above and below the lumpectomy cavity is released from the underlying chest wall. They form a well vascularized broad based pedicle. This is advanced into the lumpectomy cavity and secured together with interrupted 3-0 Vicryl sutures. Approximately 10 sq cm of tissue are mobilized in this fashion. Thank you for your help.
Needle Aspiration of Peritonsillar Abscess: Choosing the Correct CPT Code
Can you explain Peritonsillar Abscess billing 42700 vs 10160? Can we bill and defend 42700 if a provider does an FNA to evacuate a PTA?
63047 with 22633 for Interbody Fusion?
We would like some coding insight from KZA. Can you report CPT code 63047 with 22633 if you append modifier 51 to CPT code 63047 if the documentation supports the work done beyond that required for interbody fusion?
X-Ray Documentation
Is it required to have the specific xray views noted in the documentation or will the code description of the number of views be sufficient?
Coding for Traumatic Serosal Tear
How do you recommend coding for a traumatic transverse colon serosal tear? My coder used "repair of transverse colon." I am getting push back because I said it was a clean case (no spillage of GI contents and no contamination." I am told I can't use Clean classification because of how it was coded. Please advise!
Preventative Skin Check Coding
Can you clarify visit elements and review of systems are required for a preventative skin check? I have been told a full ROS is required for a preventative skin exam, as well as, medical and family hx, lifestyle counseling, and age/gender appropriate screening performed. I believe dermatology to be problem oriented and a skin cancer screening vs preventative has been a huge gray area for me. Can you clarify the difference and requirements to be truly a dermatology preventative visit?
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