How To Use CPT Code 14302

CPT code 14302 describes the procedure of adjacent tissue transfer or rearrangement on the integumentary system. 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 14302?

CPT 14302 is a code used to describe the procedure of adjacent tissue transfer or rearrangement on the integumentary system. This procedure involves the relocation of healthy tissue from an adjacent site to cover lesions or defects in any area of the skin. The provider raises a flap of each additional 30.0 sq cm of adjacent normal, healthy tissue and sutures it into the area of the primary or secondary integumentary defect.

2. Official Description

The official description of CPT code 14302 is: ‘Adjacent tissue transfer or rearrangement, any area each additional 30.0 sq cm, or part thereof (List separately in addition to code for primary procedure).’ This code should be used in conjunction with code 14301.

3. Procedure

The procedure for CPT code 14302 involves several steps:

1. The provider preps and anesthetizes the patient.
2. The provider clearly demarcates the exact area of the defect on the skin.
3. The provider performs an excision of the marked area.
4. A flap of adjacent healthy tissue, measuring each additional 30.0 sq cm or part thereof, is raised.
5. The provider sutures the flap into the area of the primary or secondary integumentary defect.
6. The provider ensures that bleeding is controlled and applies a clean dressing for healing.

4. Qualifying circumstances

CPT code 14302 is used when the provider performs adjacent tissue transfer or rearrangement on the integumentary system. This procedure is typically performed to repair or reconstruct lesions or defects that range from 30.1 sq cm to 60.0 sq cm. The patient must have a primary or secondary integumentary defect that requires coverage with healthy tissue from an adjacent site.

5. When to use CPT code 14302

CPT code 14302 should be used when the provider performs adjacent tissue transfer or rearrangement on the integumentary system. This code is specifically used when the repair or reconstruction involves an additional 30.0 sq cm or part thereof. It is important to note that CPT code 14302 should only be reported in conjunction with the primary procedure code 14301.

6. Documentation requirements

To support a claim for CPT code 14302, the provider must document the following information:

• The patient’s diagnosis and the need for adjacent tissue transfer or rearrangement
• The exact area of the defect on the skin
• The size of the flap raised (each additional 30.0 sq cm or part thereof)
• The date and details of the procedure, including start and end times
• The suturing of the flap into the area of the primary or secondary integumentary defect
• Any additional procedures performed, such as skin grafts to close secondary defects
• The provider’s signature

7. Billing guidelines

When billing for CPT code 14302, it is important to follow these guidelines:

• Ensure that the procedure is performed by a qualified provider
• Report CPT code 14302 in addition to the primary procedure code 14301
• Do not report CPT code 14302 without an appropriate primary code
• Be aware that skin grafts necessary to close secondary defects are considered additional procedures

8. Historical information

CPT code 14302 was added to the Current Procedural Terminology system on January 1, 2010. There have been no updates to the code since its addition.

9. Examples

1. A provider performs adjacent tissue transfer to cover a 40.0 sq cm defect on the patient’s arm.
2. A patient requires adjacent tissue transfer to repair a 50.0 sq cm defect on their leg.
3. A provider performs adjacent tissue transfer to cover a 35.0 sq cm defect on the patient’s abdomen.
4. A patient undergoes adjacent tissue transfer to repair a 55.0 sq cm defect on their back.
5. A provider performs adjacent tissue transfer to cover a 45.0 sq cm defect on the patient’s face.
6. A patient requires adjacent tissue transfer to repair a 60.0 sq cm defect on their chest.
7. A provider performs adjacent tissue transfer to cover a 25.0 sq cm defect on the patient’s hand.
8. A patient undergoes adjacent tissue transfer to repair a 55.0 sq cm defect on their scalp.
9. A provider performs adjacent tissue transfer to cover a 30.0 sq cm defect on the patient’s thigh.
10. A patient requires adjacent tissue transfer to repair a 40.0 sq cm defect on their buttocks.