tci ED Coding & Reimbursement Alert - 2013 Issue 8

How do you decide which category describes the repair in question?

A simple repair is usually single layer, with no particulates, no contamination. You’ll report simple repairs with codes from the 12001-12021 CPT® family, depending on the length and location of the repair. An intermediate repair usually involves layered closure of one or more of the deeper layers in addition to the skin, or a single layer repair that requires extensive cleaning and removal of particulate debris. Check the 12031-12057 code set for when filing claims for intermediate repairs, depending on the length and location of the repair. A complex repair usually includes the repair of wounds requiring more...

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