How To Use CPT Code 14041

CPT code 14041 describes the procedure of adjacent tissue transfer or rearrangement for various areas of the body, such as the forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, and feet. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 14041?

CPT code 14041 is used to represent the procedure of adjacent tissue transfer or rearrangement for integumentary defects ranging from 10.1 square centimeters to 30.0 square centimeters. This code is specifically used when the provider replaces lesions in various areas of the body with healthy tissues from an adjacent site.

2. Official Description

The official description of CPT code 14041 is: ‘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.’

3. Procedure

When performing CPT code 14041, the provider begins by prepping and anesthetizing the patient appropriately. They then clearly demarcate the exact area of the lesions on the skin. The provider proceeds to perform adjacent tissue transfers (ATT) to cover the lesion on the specified areas of the body. This involves relocating a flap from adjacent normal, healthy tissue into the damaged area. The provider performs excision of the marked area and raises the flap from the adjacent healthy tissue. The flap is then fixed into the area of the primary or secondary integumentary defect using sutures. The provider ensures that bleeding is stopped and applies a clean dressing to facilitate healing.

4. Qualifying circumstances

CPT code 14041 is applicable when the patient has integumentary defects in areas such as the forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, or feet, ranging from 10.1 square centimeters to 30.0 square centimeters. The procedure involves the use of adjacent tissue transfer or rearrangement to replace the lesions with healthy tissues from an adjacent site.

5. When to use CPT code 14041

CPT code 14041 should be used when the provider performs adjacent tissue transfer or rearrangement for integumentary defects in the specified areas of the body, ranging from 10.1 square centimeters to 30.0 square centimeters. It is important to accurately document the size of the defect to ensure appropriate coding.

6. Documentation requirements

To support a claim for CPT code 14041, the provider must document the following information:

• Patient’s prepped and anesthetized status
• Clear demarcation of the exact area of the lesions
• Excision of the marked area
• Raising and fixing of the flap from adjacent healthy tissue
• Use of sutures to secure the flap
• Stopping of bleeding and application of a clean dressing

7. Billing guidelines

When billing for CPT code 14041, ensure that the procedure involves adjacent tissue transfer or rearrangement for integumentary defects in the specified areas of the body, ranging from 10.1 square centimeters to 30.0 square centimeters. It is important to accurately report the size of the defect to ensure proper reimbursement. Additionally, be aware that lesion removal is considered part of the tissue transfer procedure and should not be billed separately.

8. Historical information

CPT code 14041 was added to the Current Procedural Terminology system on January 1, 1990. There have been no updates to the code since its addition.

9. Similar codes to CPT 14041

Five similar codes to CPT 14041 include:

• CPT 14040: This code is used for adjacent tissue transfer or rearrangement procedures on the integumentary system for defects of 10 square centimeters or less.
• CPT 14042: This code is used for adjacent tissue transfer or rearrangement procedures on the integumentary system for defects of 30.1 to 60.0 square centimeters.
• CPT 14043: This code is used for adjacent tissue transfer or rearrangement procedures on the integumentary system for defects of 60.1 to 100.0 square centimeters.
• CPT 14044: This code is used for adjacent tissue transfer or rearrangement procedures on the integumentary system for defects of over 100.0 square centimeters.
• CPT 14045: This code is used for adjacent tissue transfer or rearrangement procedures on the integumentary system for defects of any size.

9. Examples

1. A provider performs adjacent tissue transfer to cover a 15 square centimeter defect on a patient’s forehead.
2. A patient undergoes adjacent tissue rearrangement to repair a 25 square centimeter defect on their chin.
3. A provider performs adjacent tissue transfer to cover a 20 square centimeter defect on a patient’s neck.
4. A patient undergoes adjacent tissue rearrangement to repair a 12 square centimeter defect on their hands.
5. A provider performs adjacent tissue transfer to cover a 30 square centimeter defect on a patient’s genitalia.
6. A patient undergoes adjacent tissue rearrangement to repair a 28 square centimeter defect on their cheeks.
7. A provider performs adjacent tissue transfer to cover a 18 square centimeter defect on a patient’s mouth.
8. A patient undergoes adjacent tissue rearrangement to repair a 22 square centimeter defect on their feet.
9. A provider performs adjacent tissue transfer to cover a 14 square centimeter defect on a patient’s axillae.
10. A patient undergoes adjacent tissue rearrangement to repair a 27 square centimeter defect on their hands.