Category: CC-Plastic Surgery


LeFort Fracture Repair

Kim, thank you for coming to our practice a few months ago for coding education. You kept everyone’s attention and my partners said they enjoyed the session. I had a coding question and was wondering if you can offer your insight. I have a patient with bilateral LeFort I, II and III fractures which were fixated on each side. Is it appropriate to code for the bilateral LeFort I, II, and III separately or do they need to be coded a different manner?


Reporting the ATT Codes More than Once

I did a large wound closure of the perineum, buttock and testicles with 5 large separate local flaps (v-y, rotation/advancement and rhomboid). The total area of the defect was very large and required five local flaps for closure. I billed for the 5 flaps separately (14301-59 five times). Medicare paid once for 14031. How do I better bill this large repair to get paid?


Epidermal Cyst

I have a question and was hoping you could give me some insight on it. When coding for a lesion/mass excision removal I know that you code by the size and the location of the lesion/mass but when it comes to depth I am a little confused.

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