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.
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Surgery – Plastic & Reconstructive codes(1–60 of 247)
- 19357Tissue xpndr placement breast reconstruction
- 15734Muscle, myocutaneous, or fasciocutaneous flap of the trunk
- 14301Tissue transfer any 30.1-60 square cm
- 14000Tissue transfer trunk 10 square cm/<
- 14001Tissue transfer trunk 10.1-30sqcm
- 14020Tissue transfer s/a/l 10 square cm/<
- 14021Tissue transfer s/a/l 10.1-30 sqcm
- 14040Tissue transfer f/c/c/m/n/a/g/h/f
- 14041Tissue transfer f/c/c/m/n/a/g/h/f
- 14060Tissue transfer e/n/e/l 10 square cm/<
- 14061Tissue transfer e/n/e/l10.1-30sqcm
- 14302Tissue transfer additional 30 square cm
- 14350Filleted finger/toe flap
- 15002Wound prep trk/arm/leg
- 15003Wound prep additional 100 cm
- 15004Wound prep f/n/hf/g
- 15005Wound prep f/n/hf/g additional cm
- 15011Harvest skin cll ssp autograft 1st 25
- 15012Harvest skin cll ssp autograft each add
- 15013Prepj skin cll ssp autograft 1st
- 15014Prepj skin cll ssp autograft each
- 15015App skin cl ssp autograft t/a/l 1
- 15016App skin cl ssp autograft t/a/l each
- 15017App skin cll ssp f/n/g/hf 1st
- 15018App skin cll ssp f/n/g/hf each
- 15040Harvest cultured skin graft
- 15050Pinch graft up to 2 cm diam
- 15100Splt autograft t/a/l 1st 100sqcm
- 15101Splt autograft t/a/l each additional 100
- 15110Epidrm autograft t/a/l 1st 100
- 15111Epidrm autograft t/a/l each additional
- 15115Epdrm autograft f/s/n/h/f/g/m 1
- 15116Epdrm autograft f/s/n/h/f/g/m each
- 15120Splt autograft f/s/n/h/f/g/m 1st
- 15121Splt autograft f/s/n/h/f/g/m each
- 15130Drm autograft t/a/l 1st 100 sqcm
- 15131Drm autograft t/a/l each additional
- 15135Drm autograft f/s/n/h/f/g/m 1st
- 15136Drm autograft f/s/n/h/f/g/m each
- 15150Tissue cltr skin autograft t/a/l 1st
- 15151Tissue cltr skin autograft t/a/l add
- 15152Tissue cltr skin autograft t/a/l each
- 15155Tissue cltr autograft f/s/n/h/f/g 1
- 15156Tissue clt autograft f/s/n/h/f/g ad
- 15157Tissue clt autograft f/s/n/h/f/g each
- 15200Fth/gft fr trnk 20 square cm/<
- 15201Fth/gft fr trnk each additional
- 15220Fth/gft fr s/a/l 20 square cm/<
- 15221Fth/gft fr s/a/l each additional
- 15240Fth/gft f/c/c/m/n/ax/g/h/f20
- 15241Fth/gft f/c/c/m/n/a/g/h/f each
- 15260Fth/gft fr n/e/e/l 20 sqcm/<
- 15261Fth/gft fr n/e/e/l each additional
- 15271Skin sub graft trnk/arm/leg
- 15272Skin sub graft t/a/l add-on
- 15273Skin sub graft t/arm/lg child
- 15274Skin sub graft t/a/l child add
- 15275Skin sub graft face/nk/hf/g
- 15276Skin sub graft f/n/hf/g additional
- 15277Skin sub graft 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.