tci ED Coding & Reimbursement Alert - 2001 Issue 4

Reader Question: Forehead Laceration

Question: Can we report a subcuticular closure, single layer (referring to closure technique not suture type) forehead laceration repair with a simple-repair code? Here is an excerpt from the physicians dictation: ... using 6-0 nylon in a running subcuticular suture, plastic surgery was obtained. There was good approximation of the wound edges. Benzoin and steri-strips were then applied. Diagnostic Impression: Laceration of the forehead, 1 cm, subcuticular closure. Barbara Gedwill, RN, CPC Mequon, Wis. Answer: The subcuticular closure is very sophisticated and achieves excellent cosmesis (meaning it will heal better cosmetically), but it is still a single-layer, simple facial closure...

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