2025 CPT code 15756
(Active) Effective Date: N/A Revision Date: N/A Surgery - Other Flaps and Grafts Procedures Surgical Repair (Closure) Procedures on the Integumentary System Feed
Free myocutaneous flap with microvascular anastomosis; this procedure involves the transfer of skin and muscle tissue using microsurgical techniques.
Modifiers may be applicable based on the circumstances of the case.For instance, modifier 59 (distinct procedural service) may be used if additional procedures are performed.
Medical necessity for 15756 is established when other less invasive methods are insufficient to repair a significant soft tissue defect. The procedure is justified for reconstructive purposes to restore function, improve cosmesis or both.
The surgeon is responsible for all aspects of the procedure, including pre-operative planning, flap harvesting, microvascular anastomosis, recipient site preparation, and post-operative care. Anesthesiologists may also be involved.
- Surgical Repair (Closure) Procedures on the Integumentary System
- Surgical Repair (Closure) Procedures on the Integumentary System > Other Flaps and Grafts Procedures
In simple words: This code describes a complex surgical procedure where a piece of skin and muscle is moved from one part of the body to another to repair a wound. Tiny blood vessels are connected to ensure the moved tissue survives.The area where the tissue was taken from is then closed up.
CPT code 15756 represents a free myocutaneous flap procedure encompassing the microvascular transfer of skin and muscle tissue.The procedure involves harvesting a flap of skin and muscle from a donor site, meticulously connecting its blood vessels (microvascular anastomosis) to corresponding vessels at the recipient site using an operating microscope (code +69990 may be added if this is utilized). This technique ensures the flap's viability and successful integration. The donor site is subsequently closed.
Example 1: Reconstruction of a large, complex wound on the lower leg due to trauma. A myocutaneous flap from the thigh is harvested and anastomosed to vessels in the lower leg., Breast reconstruction following a mastectomy. A free myocutaneous flap from the abdomen (TRAM flap) is used to reconstruct the breast mound., Repair of a significant facial defect due to a burn injury. A free myocutaneous flap is harvested from a non-facial donor site and anastomosed into the face.
Detailed operative notes including description of the donor and recipient sites, flap dimensions, vascular anatomy, microvascular anastomosis details, and post-operative course.Imaging studies (pre and post-operative) may be required.
** Accurate coding requires a thorough understanding of the procedure and meticulous documentation.Consult with coding specialists if you have any questions about the appropriate application of this code.
- Revenue Code: P5A (AMBULATORY PROCEDURES - SKIN)
- RVU: The relative value units (RVUs) for CPT code 15756 will vary based on geographic location, facility type, and other factors.Consult the appropriate fee schedule for current values.
- Global Days: The global period for this procedure is dependent on the specific circumstances and the complexity of the case.Further clarification may be needed based on payer policies and local guidelines.
- Payment Status: Active
- Modifier TC rule: The use of TC modifier is not directly applicable to this code.
- Fee Schedule: Historical fee schedule data is not readily available and will vary widely. Consult specific fee schedules from relevant payers.
- Specialties:Plastic Surgery, Microsurgery, Reconstructive Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center, Hospital Outpatient