CPT code 14350 is for a surgical procedure involving a filleted finger or toe flap, used in reconstructive surgeries to repair damaged tissue.
CPT code 14350 is used to describe a surgical procedure where a flap of skin and tissue is created from a finger or toe to cover a defect or wound. This technique, known as a filleted finger/toe flap, involves carefully cutting and repositioning the skin and underlying tissue to ensure proper healing and functionality of the affected area. This code is essential for accurate billing and documentation of the specific surgical intervention performed.
For CPT code 14350, "Filleted finger/toe flap," the following modifiers may be applicable:
1. Modifier 22 - Increased Procedural Services: Use this modifier if the procedure required significantly greater effort than typically required.
2. Modifier 50 - Bilateral Procedure: Apply this modifier if the procedure was performed on both sides of the body.
3. Modifier 51 - Multiple Procedures: Use this modifier when multiple procedures are performed during the same surgical session.
4. Modifier 52 - Reduced Services: This modifier is applicable if the procedure was partially reduced or eliminated at the physician's discretion.
5. Modifier 59 - Distinct Procedural Service: Use this modifier to indicate that the procedure was distinct or independent from other services performed on the same day.
6. Modifier 76 - Repeat Procedure by Same Physician: Apply this modifier if the same procedure was repeated by the same physician.
7. Modifier 77 - Repeat Procedure by Another Physician: Use this modifier if the procedure was repeated by a different physician.
8. Modifier 78 - Unplanned Return to the Operating/Procedure Room by the Same Physician Following Initial Procedure for a Related Procedure During the Postoperative Period: This modifier is used when the patient returns to the operating room for a related procedure during the postoperative period.
9. Modifier 79 - Unrelated Procedure or Service by the Same Physician During the Postoperative Period: Apply this modifier if an unrelated procedure is performed by the same physician during the postoperative period.
10. Modifier LT - Left Side: Use this modifier to specify that the procedure was performed on the left side of the body.
11. Modifier RT - Right Side: Use this modifier to specify that the procedure was performed on the right side of the body.
12. Modifier XS - Separate Structure: Use this modifier to indicate that a service was performed on a separate organ/structure.
Each of these modifiers serves a specific purpose and should be used according to the clinical scenario and payer guidelines to ensure accurate billing and reimbursement.
Determining whether CPT code 14350 is reimbursed by Medicare involves consulting the Medicare Physician Fee Schedule (MPFS) and the guidelines provided by your regional Medicare Administrative Contractor (MAC). The MPFS is a comprehensive listing of the payment rates used by Medicare to reimburse physicians and other healthcare providers for services rendered.
To verify if CPT code 14350 is reimbursed, you would need to check the MPFS database. This can be done through the Centers for Medicare & Medicaid Services (CMS) website or through specific tools provided by CMS. Additionally, your regional MAC, which administers Medicare claims and provides guidance on coverage policies, can offer specific information regarding the reimbursement status of CPT code 14350.
In summary, to determine if CPT code 14350 is reimbursed by Medicare, you should review the MPFS and consult with your regional MAC for the most accurate and up-to-date information.
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