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2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

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Ring in the New Year with Advancement in Mind

Let me begin by wishing everyone a joyous holiday season. With the New Year comes the time to reflect and to make resolutions about all of the things we intend to do, do differently, or accomplish in the coming year. A Google search of “New Year’s Resolutions” provides millions of results ― all with different […]

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Debridement to bone with advancement flap

Hello,

Could someone help with this:

Debridement to the bone of stage 4 right ischial ulcer 6cm x 8 cm with a 4cm x 4cm ischial osteotomy. Then elevating the semimembranosus and semitendinosus off of the inferior border of the ischium and carrying the dissection deep to the muscle flap so we were able to advance the side flap up into the ischial defect. The advancement flap was 25 cm x 12cm. The apex of the chronic ulcer was debrided down to healthy tissue and was closed in an inverted Y shape. The myocutaneous flap was advanced into the tissue defect.

Do I use 15937 instead of the debridement codes (11044&11047), I know I can’t use both. Do I use 14301/14302 codes vs. the 15734 code??

Please help

Medical Billing and Coding Forum

Debridement to bone with advancement flap

Hello,

Could someone help with this:

Debridement to the bone of stage 4 right ischial ulcer 6cm x 8 cm with a 4cm x 4cm ischial osteotomy. Then elevating the semimembranosus and semitendinosus off of the inferior border of the ischium and carrying the dissection deep to the muscle flap so we were able to advance the side flap up into the ischial defect. The advancement flap was 25 cm x 12cm. The apex of the chronic ulcer was debrided down to healthy tissue and was closed in an inverted Y shape. The myocutaneous flap was advanced into the tissue defect.

Do I use 15937 instead of the debridement codes (11044&11047), I know I can’t use both. Do I use 14301/14302 codes vs. the 15734 code??

Please help

Medical Billing and Coding Forum

Exc Malig Lesion with AT and T advancement flap

Hi just needed some help with coding and Excison of malignant lesion and AT and T Advancement Flap
CPt Manual states that the Flap does not include exc. of the lesion; however when I enter the codes
it says disallow for the excision so I did add the 59 modifier and came up with clean claim. Would anyone be able to shed some light on this and just let me know if that’s correct?
Thank you in advance
Hopp

Medical Billing and Coding Forum