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...

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