tci Part B Insider - 2013 Issue 37

Reader Question: Lip Repair Has Own Code

Question: How should we report a" through and through" laceration repair of the lip? Report states 2.5-3 cm mucosal portion repaired, and 2.5-3 cm vermillion border repaired with extensive cleaning and retention sutures. Kansas Subscriber Answer: Based on your description, the best code choice is 40654 (Repair lip, full thickness; over one-half vertical height, or complex). Often, you’ll code wound closures of the lips using one of the following codes, based on complexity: 1201x — Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; … 1205x — Repair, intermediate, wounds of...

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