tci Outpatient Facility Coding Alert - 2013 Issue 6

Reader Question: Understand Thickness for Lip Border Repair

Question: One of the physicians in our urgent care center reported a 2.5-3 cm mucosal portion repair and “vermillion” border repair (also 2.5-3 cm). How should we code this? Kansas Subscriber Answer: Wounds of the mouth can be tricky because of the sensitivity and delicate tissues involved, but also because of the cosmetic considerations of this highly visible area. The exact location and extent of the repair in question will determine which code to report for these common ED or urgent care scenarios. Most urgent care coders are very familiar with the repair or closure codes...

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