Category: Plastic Surgery

Cleft Lip Repair
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Cleft Lip Repair

November 17, 2022 Question: What CPT code do I use to report the repair of the cleft lip with a cross lip pedicle flap and sectioning and inserting the pedicle? I was told to report CPT 40527 Answer: The correct code to report is 40761. CPT 40527 does not include sectioning and inserting the pedicle....

Soft Tissue Tumor Excisions
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Soft Tissue Tumor Excisions

November 3, 2022 Question: My physician performed two soft tissue tumor excisions in different areas on the scalp. They measured 1.0 cm and 1.5 cm. Can I bill for both? Also can I report a layered closure. Answer: You would report CPT 21011 (excision soft tissue tumor, scalp 2cm or less) for the first excision...

Foreign Body Versus Implant
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Foreign Body Versus Implant

October 20, 2022 Question: What is the difference between an implant and a foreign body? Answer: On page 90 of the Current Procedural Terminology (CPT) Professional Edition 2022, the definition was added to the guidelines. “An object intentionally placed by a physician or other qualified health care professional for any purpose (eg, diagnostic or therapeutic)...

New vs Established Patient
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New vs Established Patient

September 22, 2022 Question: I am a contracted physician with a group practice (Practice A) in our town. I have an opportunity to contract with another practice (Practice B) not in the same town, but near enough that my patients could see me in either location. My question has to do with the definition of...

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