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CPT 15620: Division and Inset of Previously Created Pedicled Flap
CPT code 15620 covers the division and final inset of a previously created pedicled flap with repair of the donor-site wound. This staged reconstructive procedure is commonly used in complex soft-tissue reconstruction of the face, neck, axillae, genitalia, hands, and feet. Nationally, accurate coding of staged flap procedures affects claims processing, surgical quality measurement, and appropriate reimbursement for reconstructive surgeons and hospital surgical services.
Key payers in the national analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication presents payer coverage patterns, common modifier usage, and clinical context for when 15620 is reported relative to initial flap creation and dressing or repair services.
Readers will learn the clinical scope and typical sites of service for CPT code 15620, the payer landscape addressed in this brief, and practical details to support coding accuracy and documentation alignment between flap-creation and flap-division stages. Data not available in the input is noted where applicable, and the report focuses on national implications for surgical coding, billing workflows, and documentation practices related to staged pedicled flap reconstruction.
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Billing Code Overview
CPT code 15620 describes the surgical division of a previously created pedicled flap from its base and completion of the inset of the graft at the forehead, cheeks, chin, neck, axillae, genitalia, hands, or feet, with repair of the remaining wound where the flap was pedicled. This procedure represents a staged reconstructive technique where a pedicled flap is initially created and later separated and inset to complete reconstruction.
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Service type: Reconstructive flap division and inset
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Typical site of service: Operating room or ambulatory surgical center for reconstructive procedures involving the face, neck, axillae, genitalia, hands, or feet