tci ED Coding & Reimbursement Alert - 2003 Issue 1

Reader Question: Vermilion Lipstick Traces

Question: One of our physicians treated a patient who had a vertical linear laceration measuring 2 cm on the skin surface in the philtrum. The laceration extended into the vermilion border and had a Y-shaped component. The physician anesthetized the wound and then, using a running horizontal suture, repaired the laceration up to the vermilion border. Using a simple horizontal purse-string mattress suture, the doctor pulled the Y-shaped wound back into position. When assigning a code, I saw that CPT 40650 (Repair lip ...) is for "full thickness," but to me this seems more difficult than a simple...

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