tci General Surgery Coding Alert - 2005 Issue 11

Surefire Tips for Identifying Wound Repair Level

To identify the level of wound repair, look to the operative report for these key words and clues: - Simple repairs involve superficial wounds that involve -primarily epidermis or dermis, or subcutaneous tissues without significant involvement of deeper structures,- according to CPT. Surgeons will refer to these as single-layer closures. - Intermediate repairs are more extensive and involve -one or more of the deeper layers of subcutaneous tissue and superficial (non-muscle) fascia, in addition to the skin (epidermal and dermal) closure,- according to CPT. If the surgeon mentions -layered closure,- you probably have an intermediate repair...

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