2025 CPT code 14302
(unknown) Effective Date: N/A Surgical Procedures on the Integumentary System - Integumentary System Surgery Feed
Adjacent tissue transfer or rearrangement of each additional 30.0 sq cm, or part thereof, of defect (List separately in addition to code for primary procedure).
Modifiers may be applicable in certain circumstances. For example, modifier 59 might be used to distinguish the adjacent tissue transfer from a distinct, separately identifiable procedure performed at the same surgical site.
Medical necessity must be established for this procedure.Documentation must support the need for surgical intervention and the chosen method of repair. Justification should include the size and location of the lesion, failed previous treatments, functional impairment or cosmetic concerns.Any complications that led to increased defect size should be documented to justify the use of add-on code 14302.
The physician prepares the patient and administers anesthesia.The defect and the adjacent tissue for transfer are marked.The primary defect (the lesion) is excised. A flap of appropriate size is raised from the adjacent healthy tissue. This flap is then transferred to cover the defect, and sutured in place.Hemostasis is achieved, and a dressing is applied.
In simple words: This code is used when a skin lesion is repaired using healthy skin from nearby. The original repair covers a certain area. This code is for each additional 30 square centimeters repaired, or part thereof, during the same procedure. It is used in addition to the main repair code.
This code describes adjacent tissue transfer or rearrangement for each additional 30.0 square centimeters (sq cm), or part thereof, of defect.It is reported in addition to the primary procedure code (14301) and is used when the repair extends beyond the initial area covered by 14301. The total area repaired includes both the primary and secondary defects. This procedure involves creating a flap of healthy tissue from an adjacent site and relocating it to cover the defect.Methods may include Z-plasty, W-plasty, V-Y plasty, rotation flap, random island flap, or advancement flap.
Example 1: A patient has a 65 sq cm lesion removed from the back. Code 14301 is reported for the first 60 sq cm, and 14302 is reported once for the additional 5 sq cm., A patient undergoes scar revision surgery on their forearm. The original scar is 70 sq cm. After excision, the secondary defect adds another 15 sq cm. 14301 is reported for the first 60 sq cm and 14302 is reported twice to account for the additional 45 sq cm (70 + 15 - 60)., A patient has a 35 sq cm lesion excised from the scalp. During the adjacent tissue transfer, a complication arises, requiring an additional 25 sq cm of adjacent tissue to be transferred. Code 14301 would be reported along with code 14302.While the original lesion was less than 60 sq cm, the total area repaired using adjacent tissue transfer exceeds 60 sq cm (35 + 25).
Documentation should include the size of the primary defect, the method of adjacent tissue transfer used, the size of the secondary defect, and the total area repaired.Detailed operative notes should describe the complexity of the procedure and any complications encountered.
** This code represents the additional work involved in a more extensive repair using adjacent tissue transfer.It is important to accurately measure and document the total defect area to ensure proper coding and reimbursement.This code should not be used for simple wound closure or direct closure of traumatic wounds.
- Specialties:Plastic Surgery, Dermatology, General Surgery,Oral and Maxillofacial Surgery
- Place of Service:Ambulatory Surgical Center, Hospital Outpatient, Physician's Office