tci General Surgery Coding Alert - 2013 Issue 11

Reader Question: Distinguish Simple, Intermediate, Complex

Question: Based on the following note, should I bill for a complex or simple repair? Wound repair of 3.5 cm subcutaneous laceration to palmar aspect of middle phalanx of left middle finger and palmar aspect of middle phalanx of left ring finger and palmar aspect of middle phalanx of left index finger. Distal neuro/vascular/tendon intact. Laceration linear shaped, grossly contaminated with debris, minimal bleeding noted. Anesthesia: Digital block administered with 8 mls of 1% lidocaine. Wound prep: wound requires extensive cleansing with Betadine 500 ml X 2 and removal of debris, Wound explored extensively, copious irrigation. Skin closed...

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