tci General Surgery Coding Alert - 2009 Issue 15

READER QUESTIONS: Find Mastectomy Scar Revision in Wound Repair

Question: Our surgeon performed a scar revision on the site of a previous mastectomy. The procedure involved excising a 16.5 cm curved scar before performing a layered closure. How should we code this? Nebraska Subscriber Answer: You should use complex wound repair codes for the scar revision procedure that you describe. Specifically, you should use the trunk codes 13101 (Repair,complex, trunk; 2.6 cm to 7.5 cm) and +13102 (... each additional 5 cm or less [List separately in addition to code for primary procedure]). Measure repair: Whether straight, curved, angular, or stellate, the operative report...

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