CPT^® 21138, Under Repair, Revision, and/or Reconstruction Procedures on the Head

The Current Procedural Terminology (CPT^®) code 21138 as maintained by American Medical Association, is a medical procedural code under the range - Repair, Revision, and/or Reconstruction Procedures on the Head.

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Summary

The provider reshapes the forehead using contouring and placement of prosthetic material or bone graft from the patient’s own body to lower a patient's brow or hairline. He performs forehead reduction to correct a facial abnormality, or more commonly, to improve cosmetic appearance.

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When McKesson edits contradict commercial insurance AND CMS guidelines

[QUOTE="FTessaBartels, post: 191810, member: 32677"]Many years ago I worked on a claim where the physician performed and billed 21138 (along with other codes) for a baby with severe congenital skull d... [ Read More ]

When McKesson edits contradict commercial insurance AND CMS guidelines

[b]An anecdote re peer-to-peer[/b] Many years ago I worked on a claim where the physician performed and billed 21138 (along with other codes) for a baby with severe congenital skull deformity. Insur... [ Read More ]

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