a lesion removal?
No. Unlike intermediate or complex closures, you cannot bill lesion removal if the dermatologist performed adjacent tissue transfer, because the tissue transfer is part of the lesion removal. After the scar is excised and debrided, the dermatologist performs an adjacent tissue transfer to repair the wound. If you report adjacent tissue repair, the tissue transfer includes the repair, so don\’t bill separately for the tissue repair, says Carrie Ontiveros, CPC, coding specialist with the Wichita Clinic in Wichita, Kan. You should code the tissue transfer procedure as 14041 (Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10.1 sq cm to 30.0 sq cm). Like the repair codes, size (in square centimeters) and the location of the defect determine the adjacent tissuetransfer codes. However, when coding a defect that is more than 30 sq cm, report 14300 (Adjacent tissue transfer or rearrangement, more than 30 sq cm, unusu
