Plastic & Reconstructive Surgery in the Ambulatory Surgery Center
Plastic and reconstructive surgery repairs and reshapes skin and soft tissue. In the ambulatory surgery center, much of this work falls in the integumentary CPT family, roughly 14000 through 19499, covering tissue transfers, flaps, grafts, and breast procedures. Tissue transfer codes such as 14000 (Tis trnfr trunk 10 sq cm or less) are sized by anatomic area and the square centimeters involved, so accurate measurement and documentation matter for correct code selection.
Whether a specific code suits the ASC setting depends on its ASC-eligibility status, worth confirming before scheduling. Some codes are ASC-eligible and can be performed in a certified ambulatory surgery center, while others are typically done in a hospital outpatient department or office instead. Checking the current ASC-eligibility status for each code is the safest way to confirm coverage before scheduling.
Surgery – Plastic & Reconstructive codes(1–60 of 247)
- 19357Tiss xpndr plmt brst rcnstj
- 15734Muscle-skin graft trunk
- 14301Tis trnfr any 30.1-60 sq cm
- 14000Tis trnfr trunk 10 sq cm/<
- 14001Tis trnfr trunk 10.1-30sqcm
- 14020Tis trnfr s/a/l 10 sq cm/<
- 14021Tis trnfr s/a/l 10.1-30 sqcm
- 14040Tis trnfr f/c/c/m/n/a/g/h/f
- 14041Tis trnfr f/c/c/m/n/a/g/h/f
- 14060Tis trnfr e/n/e/l 10 sq cm/<
- 14061Tis trnfr e/n/e/l10.1-30sqcm
- 14302Tis trnfr addl 30 sq cm
- 14350Filleted finger/toe flap
- 15002Wound prep trk/arm/leg
- 15003Wound prep addl 100 cm
- 15004Wound prep f/n/hf/g
- 15005Wnd prep f/n/hf/g addl cm
- 15011Hrv skn cll ssp agrft 1st 25
- 15012Hrv skn cll ssp agrft ea add
- 15013Prepj skn cll ssp agrft 1st
- 15014Prepj skn cll ssp agrft ea
- 15015App skn cl ssp agrft t/a/l 1
- 15016App skn cl ssp agrf t/a/l ea
- 15017App skn cll ssp f/n/g/hf 1st
- 15018App skn cll ssp f/n/g/hf ea
- 15040Harvest cultured skin graft
- 15050Pinch graft up to 2 cm diam
- 15100Splt agrft t/a/l 1st 100sqcm
- 15101Splt agrft t/a/l ea addl 100
- 15110Epidrm agrft t/a/l 1st 100
- 15111Epidrm agrft t/a/l ea addl
- 15115Epdrm agrft f/s/n/h/f/g/m 1
- 15116Epdrm agrft f/s/n/h/f/g/m ea
- 15120Splt agrft f/s/n/h/f/g/m 1st
- 15121Splt agrft f/s/n/h/f/g/m ea
- 15130Drm agrft t/a/l 1st 100 sqcm
- 15131Drm agrft t/a/l ea addl
- 15135Drm agrft f/s/n/h/f/g/m 1st
- 15136Drm agrft f/s/n/h/f/g/m ea
- 15150Tis cltr skn agrft t/a/l 1st
- 15151Tis cltr skn agrft t/a/l add
- 15152Tis cltr skn agrft t/a/l ea
- 15155Tis cltr agrft f/s/n/h/f/g 1
- 15156Tis clt agrft f/s/n/h/f/g ad
- 15157Tis clt agrft f/s/n/h/f/g ea
- 15200Fth/gft fr trnk 20 sq cm/<
- 15201Fth/gft fr trnk each addl
- 15220Fth/gft fr s/a/l 20 sq cm/<
- 15221Fth/gft fr s/a/l each addl
- 15240Fth/gft f/c/c/m/n/ax/g/h/f20
- 15241Fth/gft f/c/c/m/n/a/g/h/f ea
- 15260Fth/gft fr n/e/e/l 20 sqcm/<
- 15261Fth/gft fr n/e/e/l each addl
- 15271Skin sub graft trnk/arm/leg
- 15272Skin sub graft t/a/l add-on
- 15273Skin sub grft t/arm/lg child
- 15274Skn sub grft t/a/l child add
- 15275Skin sub graft face/nk/hf/g
- 15276Skin sub graft f/n/hf/g addl
- 15277Skn sub grft f/n/hf/g child
Are plastic and reconstructive surgery procedures performed in an ASC?
Yes. Many plastic and reconstructive procedures are routinely performed in ambulatory surgery centers, which is why a large share carry place-of-service 24. Whether a specific code suits the ASC setting depends on its ASC-eligibility status, worth confirming before scheduling. Some codes are ASC-eligible while others are not typically performed in an ASC, so confirm the status of each code before scheduling.
What CPT codes does plastic and reconstructive surgery use?
Most ASC-relevant work falls in the integumentary CPT family, roughly 14000 through 19499. This includes adjacent tissue transfers such as 14000 and 14301, muscle and skin flaps such as 15734, and breast reconstruction codes such as 19357 for tissue expander placement. Our dataset maps 247 ASC-relevant CPT codes to this specialty.
How are tissue transfer and flap codes chosen correctly?
Codes such as 14000 and 14301 are defined by the anatomic area of the defect and its size in square centimeters, so the operative note should document the location and measured dimensions of the area repaired. Flap and graft codes such as 15734 describe more complex work and are reported by tissue type and site. Accurate measurement and clear documentation support correct code selection and reduce denials.