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Shelly Posted 1 Year(s) ago
is there other codes for 12001, 12002, 12004? Insurance is denying 12001 is there any similar codes? what can possibly be the cause of the denial?
SuperCoder Posted 1 Year(s) ago

Hi Shelly,

Simple repairs are considered to be part of any surgical procedures performed. However, if repair is performed on different site we can bill it with modifier 59. If modifier is not used, payer consider simple repair as integral part of other major procedure performed.

Also simple repair involves primarily epidermis or dermis, with single layer closure. You may check with the medical records, if it is deeper than dermis and involves multiple layer closure then go for intermediate or complex closure accordingly. Please feel free to ask for further query.

Posted by Shelly, 1 Year(s). There are 2 posts. The latest reply is from SuperCoder.

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