Medical Coding

Category - 40,000 Series

A newborn needs to have a cleft palate repaired. His cleft involves the soft and hard palates only. What CPT code would you use for a palatoplasty for this child?
  1. 42200
  2. 42205
  3. 42210
  4. 42215
Explanation
Answer: A - 42200 is correct because this code is for a palatoplasty of the soft and/or hard palates only.
Code 42205 is incorrect because there was no closure of the alveolar ridge. Code 42210 is incorrect because there was no bone graft of the alveolar ridge. Code 42215 is incorrect because there was no major revision performed.
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