Advanced Search

General Surgery Coding Alert

Reader Questions:

Unlisted Isn't Always the Best Answer

Published on Sun Jun 28, 2009

Question: Is there a code for an excision of an anorectal ulcer and Y-V anoplasty? The surgeon documented the following: Patient has a large ulcer. The area was excised using electrocautery down to subcutaneous tissue then a Y-V anoplasty was mapped out. Do I have to use unlisted code 46999? Louisiana Subscriber Answer: You should report either 14040 (Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less) or 14041 (& defect 10.1 sq cm to 30.0 sq cm), depending on size. This code specifically includes VY anoplasty. The lesion excision is also included in the 14040 and 14041 codes, so you cannot separately report the excision, either. --  Technical and coding advice for You Be the Coder and Reader Questions provided by Marcella Bucknam, CPC, CCS-P, CPC-H, CCS, CPC-P, CPCOBGYN, CPC-CARDIO, manager of compliance education for the University [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

General Surgery Coding Alert

View All