AMA CPT® Assistant - 2019 Issue 11 (November)

Intermediate and Complex Repair Guideline Revisions (November 2019)

November 2019 pages 3-5 Intermediate and Complex Repair Guideline Revisions In the 2020 American Medical Association (AMA) Current Procedural Terminology (CPT®) code set, the introductory guidelines in the Integumentary System/Repair (Closure) subsection have been revised to clarify correct reporting of intermediate and complex repair of wounds. Prior to 2020, intermediate repair was defined as layered closure and complex repair included layered closure plus scar revision, debridement, extensive undermining, use of stents or retention sutures, and preparation for the repair that could include creation of a limited defect or the debridement of complicated lacerations or avulsions. It was determined...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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