CPC CPT Surgery: Integumentary System 3

Question 1

Which CPT code is reported for a split-thickness skin graft covering 50 sq cm on the thigh of an adult?

Accepted Answer

15100

Answer

CPT 15100 is reported for a split-thickness autograft to the trunk, legs, or arms for the first 100 sq cm in adults.

Question 2

An adjacent tissue transfer (Z-plasty) is performed to repair a defect of 12 sq cm on the trunk. Which CPT code applies?

Accepted Answer

14000

Answer

CPT 14000 covers adjacent tissue transfer or rearrangement on the trunk for defects up to 10 sq cm, but 14020 covers trunk defects of 10.1 to 30.0 sq cm — the correct code here is 14020.

Question 3

Which of the following statements about skin substitute graft codes is correct?

Accepted Answer

They are reported based on the anatomic site and size of the recipient area in sq cm

Answer

Skin substitute graft codes (e.g., Apligraf, Dermagraft) are selected by anatomic site and recipient area size in square centimeters.

Question 4

A pedicle flap is delayed in preparation for a later transfer. How is this service reported?

Accepted Answer

Report the delay procedure with code 15620

Answer

CPT 15620 (delay of flap or sectioning of pedicle) is reported when a pedicle flap is delayed prior to its definitive transfer.

Question 5

When reporting a full-thickness skin graft to the face, what is measured to determine the correct CPT code?

Accepted Answer

The size of the recipient defect in square centimeters

Answer

Full-thickness skin graft codes are selected based on the size of the recipient defect, not the donor site.

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CPC CPT Surgery: Integumentary System 3