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General Surgery Coding Alert

CCI 18.3:

12001-13153: Halt Closure Coding with (Almost) Anything

Report repair alone or with lesion excision only.In case you've ever wondered if you could separately report your surgeon's closure services for pretty much any surgical procedure, Correct Coding Initiative (CCI) edits version 18.3 answers a resounding, "no."Effective October 1, 2012, CCI adds 233,242 new edit pairs, and most of those restrict reporting simple, intermediate, and complex repair codes (12000-13153) with practically every code from the start of the integumentary section (10040, Acne surgery [e.g., marsupialization, opening or removal of multiple milia, comedones, cysts, pustules]) to the end of the auditory system (69970, Removal of tumor, temporal bone) and beyond to include some radiology and medicine procedures."This release will go down in history as the Ripley's Believe it or Not quarterly change. In addition to the overwhelming volume of reasons that payers use to deny payment to a practice, you can add 1 million more, which is just about the [...]