Our oculofacial provider performed a “free tarsal graft” from the right upper lid to the right lower lid to repair defect from a recent Mohs procedure. What would be the appropriate CPT code?

Answer:
The appropriate CPT code depends on the documentation in the procedure note. From the CPT pocket guide: “For free skin grafts, see 15120, 15121, 15260, 15261”

Definitions:

15120 — Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; first 100 square centimeter or less, or 1% of body area of infants and children (except 15050)

+15121 — Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; each additional 100 square centimeter, or each additional 1% of body area of infants and children or part thereof (List separately in addition to code for primary procedure.)

15260 — Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids and/or lips; 20 square centimeter or less

+15261 — Full thickness graft, free, including direct closure of donor site, nose, ears, eyelids and/or lips; each additional 20 square centimeter or part thereof (List separately in addition to code for primary procedure)