tci General Surgery Coding Alert - 2005 Issue 11

Wound Repair With Lesion Excision? Here's What You Must Know Before You Code

Add together repair lengths for similar wounds Lesion excision includes simple closure, but you may be able to report more complex repairs separately in some cases--which can mean hundreds of dollars in increased payment every year. Recognize What's Included With Excision You should not report simple wound repairs (12001-12018) with lesion excision procedures 11400-11446 (benign) and 11600-11646 (malignant), says Michelle Logsdon, CPC, CCS-P, with Falcon Practice Management LLC in Bayville, N.J. CPT specifically states that you should include non-layered closure in lesion excision. The same guidelines stipulate, however, that defects created by excision or trauma -may require intermediate...

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