2025 CPT code 15731

Forehead flap with preservation of vascular pedicle for reconstruction of facial or scalp defects.

Follow CPT guidelines for surgical procedures on the integumentary system and flaps.Ensure appropriate modifier use for distinct procedural services (e.g., modifier 59).

Modifiers may apply based on specific circumstances, such as increased procedural services (modifier 22) or multiple procedures (modifier 51).

Medical necessity must be established by documenting the defect's characteristics and the reasons why a forehead flap is the most appropriate reconstructive option.

The surgeon plans and executes the flap creation and transfer.This includes preoperative assessment of blood vessels (often using ultrasound), meticulous dissection of the flap, securing the flap at the recipient site with sutures, and closure of the donor site.

IMPORTANT For muscle, myocutaneous, or fasciocutaneous flap of the head or neck, use 15733.

In simple words: A skin flap from the forehead, including its blood supply, is moved to repair an injury or wound on the face or scalp.The surgeon carefully ensures the flap's blood vessels remain attached during the transfer. This allows the moved skin to heal in its new location.

Creation of a forehead flap, retaining its vascular pedicle (e.g., axial pattern flap, paramedian forehead flap), used for reconstructive purposes in the face or scalp area.This procedure often involves the supratrochlear vessels for blood supply. The flap is carefully excised and transferred to the recipient site while maintaining its vascular connection.The donor site on the forehead is then closed.

Example 1: Reconstruction of a nasal defect following skin cancer removal., Repair of a scalp injury with exposed bone., Closure of a complex facial laceration.

Detailed documentation of the defect size and location, the type of flap created, the vascular pedicle preserved, the method of closure for both recipient and donor sites, and any complications encountered.

  • Revenue Code: P1G - MAJOR PROCEDURE - OTHER
  • Payment Status: Active
  • Specialties:Plastic Surgery, Reconstructive Surgery, Facial Plastic Surgery, Otolaryngology (Head and Neck Surgery)
  • Place of Service:Ambulatory Surgical Center, Hospital Outpatient Department, Inpatient Hospital (for complex cases)
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