im reviewing a denial and the patient had an advancement flap 12 cm2 of the lower abdomen and also 12 cm2 of the midline abdomen. are these coded 14001 x2 or is it just 1 time since its all the abdomen? and you add these together.
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Tag Archives: Flaps
Update: DIEP Flaps Call for S Codes, Not 19364
For non-Medicare payers, temporary codes provide the most accurate reporting and reimbursement of these clinically complex procedures. Unlike other flaps used for breast reconstruction, deep inferior epigastric perforator (DIEP) flaps preserve muscle function at the donor site, improving the patient’s core strength and reducing the risk of hernia after surgery. Conflicting and outdated guidelines mean […]
AAPC Knowledge Center
Reporting multiple muscle flaps to Medicare
Hi all,
How are y’all reporting 15734 to Medicare? The patient underwent two 15734. I reported it on one line with 2 units. Medicare is denying for exceeding the units although MUEs allow up to 4 units. Should I report it on two lines with a m59, m51, or m76 on the second line or no modifier at all?
AMA Updates Codes for Flaps and Septoplasties
Other than the FESS CPT® changes for 2018, there are a few more CPT® updates to note for the upcoming year. The first changes have to do with Flaps (skin and/or deep tissues). Additional instructions were added to these codes, stating: “The regions listed refer to a donor site when a tube is formed for later transfer […]
AAPC Knowledge Center