May 13, 2021

Question:
My physician and I are in a disagreement regarding a malignant lesion excision performed with an ATT.  She performed a malignant lesion excision along with the ATT which is  7cm on the arm.  She wants to code both the excision of the malignant lesion and ATT.  I think we should only report CPT 14020 for the ATT on the arm.

Answer:
The lesion excision is included with the ATT (adjacent tissue transfer). When adjacent tissue transfer or rearrangement is performed in conjunction with excision of a lesion, the lesion excision is not reported separately. You would report only the ATT (14020). Code selection is based on anatomic location and size.

*This response is based on the best information available as of 5/13/21.