tci ED Coding & Reimbursement Alert - 2001 Issue 3

Is It Simple, Complex or Intermediate? Choose the Correct Laceration Repair Code to Match Reimbursement to the Work

The coders laceration repair challenge is searching the physicians documentation to determine whether the repair rates a simple, complex or intermediate code description. And, once thats done, the Medical Coder must further refine the choice by the length of the wound. The correct code requires both determinations because a long wound isnt always complex; a physician can perform a simple repair on a 30-cm wound. CPT provides some guidance about using repair codes (see CPT Repair At A Glance on page 21). But applying these codes in real-life situations requires more information. The following steps give you what you...

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