The 1573X family of CPT codes represent
muscle, myocutaneous and fasciocutaneous
rotational flaps, but they don’t
describe any form of free-tissue transfer with
microvascular anastomosis.
Muscle, myocutaneous or fasciocutaneous
flaps should never be confused with adjacent
tissue transfers, where skin or subcutaneous
tissue alone is typically advanced to fill a
defect. ASPS teaches that the 1573X “family”
of codes are used for flaps in which large,
vascularized muscle or fascial units (and
potentially the overlying skin) are mobilized
and transferred for reconstructive purposes.
This includes transfer of these muscle or
fascia-based flaps for the filling of oncologic
defects, coverage of compromised surgical sites or functional muscle transfer.
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