tci General Surgery Coding Alert - 2007 Issue 8

Take Closures With Excision on a Case-by-Case Basis

Sometimes repairs are bundled, but sometimes notJust as with integumentary system excisions (such as 11400-11646), you should include simple repairs (12001-12021) in all musculoskeletal excisions (for instance, 21930, Excision, tumor, soft tissue of back or flank)--at least for payers that follow Medicare guidelines. Introductory material in the Correct Coding Initiative (CCI) specifically states, -when - lesion removal requires only - simple closure, this is included in the lesion excision and is not reported separately.-Good news: In some cases, you may be able to report intermediate and/or complex closures with musculo-skeletal excisions.Bad news: CCI rules for reporting intermediate...

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