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CPT 15574: Direct or Tubed Pedicle Skin Flap for Reconstructive Repair
CPT code 15574 covers preparation of a direct or tubed pedicle skin flap harvested from the patient’s healthy skin and tissue to repair wounds or injuries in anatomically specific areas (forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, or feet). This reconstructive surgical code matters nationally because pedicle flap techniques remain essential for restoring form and function after trauma, oncologic resection, or complex soft-tissue loss.
Key payers in the coverage landscape include Aetna, Blue Cross Blue Shield plans, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of clinical indications and typical settings where the service is provided, plus a concise guide to what to expect in payer coverage and billing practice. The publication highlights common procedural contexts for CPT code 15574, outlines typical modifiers used in practice, and identifies areas where documentation and clinical detail commonly affect payment and claims adjudication.
This national-focused summary equips clinicians, practice managers, and billing professionals with the clinical framing and operational context needed to code and document direct or tubed pedicle skin flap procedures appropriately. Data not available in the input for payer-specific reimbursement levels and associated diagnosis codes are noted where applicable.
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Billing Code Overview
CPT code 15574 describes the preparation of a direct or tubed pedicle skin flap using the patient’s own healthy skin and tissue to cover an injury or wound. The provider may transfer the flap to a recipient site or leave it in place attached by a pedicle. This code is specific to procedures performed on the forehead, cheeks, chin, mouth, neck, axillae, genitalia, hands, or feet.
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Service type: Surgical soft tissue reconstruction using a direct or tubed pedicle skin flap
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Typical site of service: Operating room, ambulatory surgical center, or other procedural facility where reconstructive flap surgery is performed