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E. maria Posted 5 Year(s) ago

What is the correct coding for this- patient undewent a partial mastectomy about 2 months ago. Came to the office due to wound dehiscence. The previous incision was excised with a 4 cm ellipse. This was closed in layers. Should we code the excision 11404 or just the closure 12032? Because it was done in the office I can't use modifier 78, what would be the appropriate modifier? 79, vs 58

E. maria Posted 5 Year(s) ago

Can someone please help me with this?

SuperCoder Posted 5 Year(s) ago

It is a wound revision case.

You should report this repair using 13160 (Secondary closure of surgical wound or dehiscence,extensive or complicated).

Remember: Complex repairs (13100-13160) involve more than layered closure, such as extensive undermining, stents, or retention sutures. Complex repairs may be reconstructive and include creating a defect to be repaired (for instance, scar excision with subsequent closure). The repair you describe qualifies as a complex repair.


Posted by E. maria, 5 Year(s). There are 3 posts. The latest reply is from SuperCoder.

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