Category: CC-Plastic Surgery

Modifier Order on CMS Claim Form
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Modifier Order on CMS Claim Form

August 3, 2023 Question: We are submitting a hospital claim form with the modifier 25 and FS modifier. We are unsure which modifier to list first. What is your recommendation? Answer: Thanks for contacting KZA and remembering to use the FS modifier for shared services provided in the hospital. KZA recommends placing the modifier 25...

Coding for a Laceration Repair
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Coding for a Laceration Repair

July 20, 2023 Question: I repaired a 12 cm jagged laceration of the midabdomen by undermning1cm to release the skin edges. Due to the length of the laceration and potential wound tension concerns, I closed the laceration in layers and retention sutures are used. What procedure code should I report? Answer: Good question.  Because Undermining...

Gynecomastia
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Gynecomastia

July 6, 2023 Question: A 24-year-old male is seen in our office for gynecomastia. My physician did a bilateral resection of the glandular component and liposuction of the fatty components of his defect. I am new to coding for plastic surgery and not sure how to code this. Can you help? Answer: Of course. The...

Diagnosis Coding Help
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Diagnosis Coding Help

June 22, 2023 Question: I need some guidance. A general surgeon did a left mastectomy four months ago for a patient who had breast cancer. My plastic surgeon did a breast reconstruction yesterday. What diagnosis code do I use? Answer: You would report 3 codes, the encounter for breast reconstruction following mastectomy Z42.1, Personal history...

Removal of Eschar
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Removal of Eschar

May 25, 2023 Question: My plastic surgery saw a patient who sustained an approximately 40% total body surface area burn in a fire. He has previously undergone excision and allograft placement of his extremities. He now came back for removal of the eschar that remains present on his torso and bilateral thighs. The total area...

Wound Debridement
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Wound Debridement

March 30, 2023 Question: What CPT code would you use for a wound debridement when the operative notes says the wound will heal by secondary intention. Do you use a repair code? Answer: You would report a wound debridement code 1104X. The code selected would depend on anatomic location and total sq cm. You would...

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