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E. maria Posted 5 Year(s) ago

Pt underwent excision of thigh lipoma 3 months ago. Now has non-healing wound resulting from that excision. Dr. performed debridement and closure of the thigh wound. Can I code 12032 (5 cm)closure and 11403? Debridement was performed of skin and subcutaneous tissue down to the fascia for a total surface area of 4 sq cm. Am also looking at 11042, but not sure about the closure.

SuperCoder Posted 5 Year(s) ago

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.

Pointer: Layers alone do not determine the level of wound repair. A complex repair requires more than just a multi-layer closure. If you wish to report complex repair codes (13100-13160), the documentation should state that the surgeon corrected a defect or performed extensive tissue debridement.

E. maria Posted 5 Year(s) ago

I don't see how I would bill for 13160 for a thigh wound that is only 5 cm, this non-healing wound was the result of an excision of a lipoma. I thought maybe more like an intermediate closure 12032?

E. maria Posted 5 Year(s) ago

can someone revisit my question, please

SuperCoder Posted 5 Year(s) ago

I will answer this soon today. Please be patient.

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

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