What is pectoralis major muscle flap?
What is pectoralis major muscle flap?
The pectoralis major flap comprises the pectoralis major muscle, with or without overlying skin, and may include the under- lying ribs. It has an axial blood supply and is based superiorly on the pectoral branch of the thoracoacromial artery. Rib may be included to bridge mandibular defects.
What is pectoralis myocutaneous flap?
The pectoralis major myocutaneous (PMMC) flap has been used as a versatile and reliable flap since its first description by Ariyan in 1979. In India head and neck cancer patients usually present in the advanced stage making PMMC flap a viable option for reconstruction.
What is the CPT code for repair of pectoralis major muscle?
Bluntly dissect to the ruptured sternal portion of the pectoralis major tendon, which lies posterior and usually is retracted medial to the clavicular insertion….Pectoralis Major Tendon Repair 24341.
| CPT | Technique |
|---|---|
| Indications | Complications |
| Contraindications | Follow-up Care |
| Alternatives | Outcomes |
| Pre-op Planning / Special Considerations | Review References |
Where is the pectoral tendon?
The pectoralis muscles, commonly called “pecs” are large, powerful muscles in the front of the chest wall. The pectoralis tendon connects the pectoralis muscle from the sternum (center of the chest) and clavicle (collar bone), to the humerus (upper arm bone.)
What is myofascial flap?
The myofascial flap variation carries no skin paddle and is utilized primarily to close small mucosal defects, to protect major vascular structures, and to support primary mucosal closure in a patient at increased risk of wound breakdown (prior radiation, diabetic, weight loss).
What kind of muscle is the pectoralis major?
The pectoralis major (from Latin pectus ‘breast’) is a thick, fan-shaped or triangular convergent muscle, situated at the chest of the human body. It makes up the bulk of the chest muscles and lies under the breast….
| Pectoralis major | |
|---|---|
| Artery | pectoral branch of the thoracoacromial trunk |
What is the Clavipectoral fascia?
The clavipectoral fascia (costocoracoid membrane; coracoclavicular fascia) is a strong fascia situated under cover of the clavicular portion of the pectoralis major. It occupies the interval between the pectoralis minor and subclavius, and protects the axillary vein and artery, and axillary nerve.
What Innervates the pec minor?
The primary nerve supply to the pectoralis minor muscle comes via the medial pectoral nerve (C8, T1), one of the minor branches of the brachial plexus that arises from the cervical portion of the spinal cord. That results in the pectoralis minor receiving innervation from the spinal roots of C5-T1.
What is the CPT code for a muscle flap?
CPT code 15734, 15732, 15740 – Muscle, mycoutaneos procedure. o The regions listed refer to a donor site when a tube is formed for later transfer or when a “delay” of flap occurs prior to the transfer. Codes 15732-15738 are described by donor site of the muscle, myocutaneous, or fasciocutaneous flap.
Which code describes a pectoralis repair?
Coding 23395 for Pectoralis Muscle Repair. December 3, 2020. Question: Someone told us to bill 23395 for repairing the pectoralis muscle after removing breast implants. Here’s the common scenario: Removal of old bilateral breast implants with capsulectomies. Repair of pectoralis muscle with re-attachment to chest wall.
What is the CPT code for local flap?
Answer: You should have reported one CPT code 14040 for the advancement flap which includes the lesion excision and repair. You should resubmit the claim with CPT 14040 and you should get paid.
What is the CPT code for flap closure?
A: According to CPT guidelines, when an adjacent tissue transfer (the rhomboid flap closure) is necessary to close a secondary defect, it is reported separately. See code range 14000–14350. However, if it is performed to close the primary defect (from the original excision), then it is included in code 11772.
