tci Part B Insider - 2006 Issue 8

GENERAL SURGERY: Reader Question--Math Is A Must When You Report Wound Repairs

Question: We have documentation indicating a surgeon removed two benign lesions from a patient's neck (2.0 and 3.5 cm, both of which require immediate repair) and three malignant lesions from the right arm (0.5 cm and 1.5 cm, which require complex repair, and 2.0 cm requiring immediate repair). How do I report this procedure on the claim?California SubscriberAnswer: When reporting wound repairs, you should add together the lengths of repairs at each identical level of severity and classified anatomic location to arrive at a total length. In other words, CPT treats all wounds...

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