tci ED Coding & Reimbursement Alert - 2005 Issue 11

READER QUESTIONS: Extra Cleaning Earns Intermediate Repair

Question: The ED physician removed extensive debris from a wound that then required a single-layer closure. Should I report this service with a code for wound repair or a code for foreign-body removal?Ohio Subscriber Answer: You should report an intermediate code for the repair--for example, 12041 (Layer closure of wounds of neck, hands, feet and/or external genitalia; 2.5 cm or less), given that the doctor is performing extensive removal of particulate debris. CPT allows for the reporting of single layered closure of wounds requiring extensive removal of debris with the intermediate repair codes. Tip: CPT states...

To read the full article, sign in and subscribe to tci ED Coding & Reimbursement Alert.

You have ED coding questions, and we deliver money-in-the-bank answers to help you defeat your claim issues and secure optimal reimbursement.

Stay in the know and avoid federal reproach with your subscription to TCI’s ED Coding and Reimbursement Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 2100 articles
  • ALL years/issues back to 1998 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci ED Coding & Reimbursement Alert +Archives

free demo
request yours today
for any budget
sign IN
welcome back!