One of the most challenging procedures to code is reconstruction of the head and neck following tumor excision. This often involves two teams of surgeons – ablative and reconstructive – who may be of different specialties. It’s not uncommon for one of the surgeons to report a code that’s inclusive in the other team’s more global codes, so it’s important that the extirpative surgeons and reconstructive surgeons communicate effectively to avoid these instances. It’s also important to note that depending on the CPT code eligibility and surgeon involvement, it may be appropriate to use co-surgeon or assistant surgeon modifiers.
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