Texascoder64
Guru
I question if the correct flap code was used for the first procedure when the physician explained what was done. The description given was:
(this is a nose cancer/nasal defect, a forehead flap was done initially, then
The flap stayed reattached for because of blood supply. You have to develop a blood supply before doing the 2nd revision and cutting the extra skin to take the flap down.
***sorry the OP note is note is not very specific other than the description above.
what CPT's would you use?
would it be this CPT 14301/02 (based on size given on op )
OR
since this was a flap that stayed attached for blood supply to nose and cut the extra skin 2 weeks later would this be coded:
15574 then 2 weeks later 15630-58?
Not sure how to code that "revision 2 weeks later as physician described of taking down flap and cutting the extra skin.
Thank you
(this is a nose cancer/nasal defect, a forehead flap was done initially, then
The flap stayed reattached for because of blood supply. You have to develop a blood supply before doing the 2nd revision and cutting the extra skin to take the flap down.
***sorry the OP note is note is not very specific other than the description above.
what CPT's would you use?
would it be this CPT 14301/02 (based on size given on op )
OR
since this was a flap that stayed attached for blood supply to nose and cut the extra skin 2 weeks later would this be coded:
15574 then 2 weeks later 15630-58?
Not sure how to code that "revision 2 weeks later as physician described of taking down flap and cutting the extra skin.
Thank you