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Wiki Complicated ENT Surgery

aryanah

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Winslow, ME
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I am struggling with the surgery listed below. Do you think 38724 and 42120 are the only billable codes? See operative note.
 

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The only codes you can bill are as you listed: 42120-LT and 38724-LT

The cheek flap, because it appears to be internal (mucosal), is included in 42120. If the surgeon had used an extraoral tissue graft/flap, then that would have been separately reportable.


Hope that helps,

Jennifer M. Connell, CPC, CENTC, CPCO, CPPM, CPMA, CPB, CPC-P, CPC-I
 
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