Loading...

Messages

Proposals

Stuck in your homework and missing deadline? Get urgent help in $10/Page with 24 hours deadline

Get Urgent Writing Help In Your Essays, Assignments, Homeworks, Dissertation, Thesis Or Coursework & Achieve A+ Grades.

Privacy Guaranteed - 100% Plagiarism Free Writing - Free Turnitin Report - Professional And Experienced Writers - 24/7 Online Support

Cpt code for dermabond wound closure

08/12/2021 Client: muhammad11 Deadline: 2 Day

30 Healthcare Business Monthly

■ CODING/BILLING By Stacy Chaplain, MD, CPC

■ Coding/Billing ■ Auditing/Compliance ■ Practice Management

Accurately coding dermatological procedures can be tricky. It is imperative that medical coders understand the anatomy of the skin and can extract specific information from the clinical documentation. We’ve spent the last two months reviewing the codes and guidelines for damaged skin treatment services by means of skin tag removal, shaving, and lesion excision. In this third and final installment, we’ll discuss coding for wound repair (closure) procedures using CPT® codes 12001-13160. Proper code selection when reporting a wound repair procedure requires examining the clinical documentation to determine three things:

1. Layers involved (complexity of the repair: simple, interme- diate, or complex);

2. Location of the closed wound; and 3. Length, in centimeters, of the closed wound

Each of these variables is specified in the CPT® repair codes. The repair can consist of sutures, staples, or tissue adhesive (for example, Dermabond), either singly or in combination with each other, or with adhesive strips. Wound closure using adhesive strips as the only repair material should be reported using the appropriate evaluation and management (E/M) code. Wounds repaired solely with Dermabond or other tissue adhesive are reported to Medicare with HCPCS Level II code G0168 Wound closure utilizing tissue adhesive(s) only. Commercial carriers allow simple repair codes (12001-12018). Let’s examine the three key elements that are crucial in determining the correct wound repair code.

1. DETERMINE REPAIR COMPLEXITY First, determine the complexity of the repair. Repair codes are divided into three categories:

• Simple repairs (12001-12021) are for superficial wounds with partial- or full-thickness damage to the skin (epidermis/ dermis) and possibly the subcutaneous tissue. Deeper structures are not involved, and these repairs require only a simple one-layer closure. These straightforward repairs involve the skin; deeper layers, such as muscle, remain

Master Wound Repair Coding in 3 Easy Steps

Part 3: Scour the documentation for three key details to correctly code for wound repair.

gettyimages / undefined undefined

www.aapc.com February 2020 31

Wound Repair CODING/BILLING

We’ve got more great articles on the Knowledge Center at: www.aapc.com/blog/.

unaffected. Anesthesia and chemical or electrocauterization of wounds are included.

• Intermediate repairs (12031- 12057) involve a layered closure of one or more of the deeper layers of the subcutis and superficial (non-muscle) fascia, in addition to the skin (epidermal and dermal) closure. Wounds necessitating an intermediate repair are generally deeper or gaping, requiring suture placement inside the wound to approximate tissue layers below the skin. Per CPT®, “Single-layer closure of heavily contaminated wounds that have required extensive cleaning or removal of particulate matter also constitutes intermediate repair.” When searching the documentation for clues regarding complexity, statements such as “layered closure,” “extensive cleaning,” and/or “removal of debris” indicate an intermediate repair. Lack of these details or mention of a “single-layer closure” suggests a simple repair.

• Complex repairs (13100-13160) treat deeper, more extensive wounds that require more than a layered closure such as debridement, extensive undermining, stents, scar revision, or retention sutures. Complex repairs include wounds that necessitate the creation of a limited defect for repairs or the debridement of complicated avulsions or lacerations. Documentation should detail extensive reconstructive repair necessitating procedures more involved than cleansing and suturing at one or more levels.

2. IDENTIFY LOCATION SUBCATEGORY After you have determined the complexity of the repair, the next step is to identify the body site(s) being repaired. Within each level of repair, wounds are classified according to anatomic location. Note that these categories are not identical for each level of repair.

• Simple repairs: ° Scalp, neck, axillae, external genitalia, trunk, and/or

extremities (including hands and feet) (12001-12007) ° Face, ears, eyelids, nose, lips, and/or mucous

membranes (12011-12015)

• Intermediate repairs: ° Scalp, axillae, trunk, and/or extremities (excluding

hands and feet) (12031-12037)

° Neck, hands, feet, and/or external genitalia (12041-12047) ° Face, ears, eyelids, nose, lips, and/or mucous

membranes (12051-12057)

• Complex repairs: ° Trunk (13100-+13102) ° Scalp, arms, and/or legs (13120-+13122) ° Forehead, cheeks, chin, mouth, neck, axillae, genitalia,

hands, and/or feet (13131-+13133) ° Eyelids, nose, ears, and/or lips (13151-+13153)

3. FIGURE WOUND LENGTH Final code selection is based on the size of the repair. The length of the wound repaired must be measured and recorded in centimeters, whether curved, angular, or stellate. If the wound measurements are documented in inches or millimeters, instead of centimeters, convert the measurements to centimeters before selecting the ap- propriate code.

ADDITIONAL CONSIDERATIONS Coding Multiple Repairs

Often, the physician repairs several wounds in a single ses- sion. When multiple wounds are repaired, check if any re- pairs of the same classification (simple, intermediate, com-

Blood vessel

Hair follicle

Sweat gland

Epidermis

Dermis

Subcutaneous tissue

Suturing

Wound

Epidermis

Dermis

Subcutaneous tissue

Needle driver

Suturing of wound through multiple tissue layers

Suture

Epidermis

Epidermis

Sutured

Hair

Dermis

Repair (2.5 cm or less)

Subcutaneous tissue

Suture

Epidermis

Epidermis

Sutured

Hair

Dermis

Repair (2.5 cm or less)

Subcutaneous tissue

Suture

Epidermis

Epidermis

Sutured

Hair

Dermis

Repair (2.5 cm or less)

Subcutaneous tissue

32 Healthcare Business Monthly

Discuss this article or topic in a forum at www.aapc.com

CO DI

NG /B

IL LI

NG

Wound Repair

plex) are grouped to the same anatomic area. If so, per CPT® coding guidelines, the lengths of the wounds re- paired should be added together and reported with a sin- gle, cumulative code. Do NOT combine wounds of differ- ent complexity or those that fall within separate anatomi- cal location groupings.

When reporting wounds of differing severity and/or loca- tion, claim the most extensive code as the primary service and append modifier 59 Distinct procedural service to sub- sequent repair codes. Multiple procedure reductions will apply for the second and subsequent procedures, except for those reported using an add-on code.

To Bundle or Not to Bundle Wound repair is often performed with other related proce- dures. Some of these related procedures can be separately reported, while others can’t or depend on specific circum- stances. Here’s a breakdown of how to determine when sep- arate reporting is warranted.

Never reported separately with wound repair: ° Any service considered part of the global surgical

package, such as topical anesthesia, writing orders, and immediate/typical postoperative care. For more details, see the Surgical Package Definition in the CPT® Surgery Guidelines. Be aware that Medicare defines the surgical package differently; for more information, refer to the Medicare Claims Processing Manual.

° Chemical or electrocauterization. ° Simple ligation of vessels in an open wound. ° Simple exploration of nerves, blood vessels, or tendons

in an open wound. More extensive exploration may be reported separately, as explained below.

° For complex wound repairs, do not report the creation of a limited defect or the debridement of complicated lacerations or avulsions, as that is considered necessary preparation.

Sometimes reported separately with wound repair: ° Decontamination and/or debridement services provided

in conjunction with wound repairs are not coded separately unless the documentation specifies that gross contamination required prolonged cleansing, that appreciable amounts of devitalized or contaminated tissue were removed, or when debridement is carried out separately without immediate primary closure.

° Lesion excision includes simple repairs, but repairs using intermediate or complex closure should be reported separately.

Always reported separately with wound repair: ° Excisional preparation of a wound bed or debridement

of an open fracture or dislocation when performed with a complex repair.

° Complex repair of nerves, blood vessels, and tendons. ° “If the wound requires enlargement, extension of

dissection (to determine penetration), debridement, removal of foreign body(s), ligation or coagulation of minor subcutaneous and/or muscular blood vessel(s) of the subcutaneous tissue, muscle fascia, and/or muscle, not requiring thoracotomy or laparotomy, use codes 20100-20103, as appropriate,” per CPT®.

Avoid common coding mistakes by remembering the three key components for coding wound repair correctly: complexity, loca- tion, and length. Detailed documentation is critical in determining these details, which ensures coding precision and proper payment for services rendered.

Stacy Chaplain, MD, CPC, is an executive editor at AAPC. She has worked in medicine for almost 20 years and has more than four years’ experience in medical writing and editing. Prior to AAPC, she led a compliance team as director of clinical coding quality for a multispecialty group practice. Chaplain received her Bachelor of Ar ts in Biology from The University of Texas at Austin and her Medical Doctorate from The University of Texas Medical Branch in Galveston. She is a member of the Beaver ton, Ore., local chapter.

“Avoid common coding mistakes by remembering the three key components for coding wound repair correctly: complexity, location, and length.”

Homework is Completed By:

Writer Writer Name Amount Client Comments & Rating
Instant Homework Helper

ONLINE

Instant Homework Helper

$36

She helped me in last minute in a very reasonable price. She is a lifesaver, I got A+ grade in my homework, I will surely hire her again for my next assignments, Thumbs Up!

Order & Get This Solution Within 3 Hours in $25/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 3 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 6 Hours in $20/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 6 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

Order & Get This Solution Within 12 Hours in $15/Page

Custom Original Solution And Get A+ Grades

  • 100% Plagiarism Free
  • Proper APA/MLA/Harvard Referencing
  • Delivery in 12 Hours After Placing Order
  • Free Turnitin Report
  • Unlimited Revisions
  • Privacy Guaranteed

6 writers have sent their proposals to do this homework:

Assignments Hut
Finance Homework Help
Accounting & Finance Master
Financial Solutions Provider
Top Grade Essay
Top Grade Tutor
Writer Writer Name Offer Chat
Assignments Hut

ONLINE

Assignments Hut

I can assist you in plagiarism free writing as I have already done several related projects of writing. I have a master qualification with 5 years’ experience in; Essay Writing, Case Study Writing, Report Writing.

$43 Chat With Writer
Finance Homework Help

ONLINE

Finance Homework Help

I am a professional and experienced writer and I have written research reports, proposals, essays, thesis and dissertations on a variety of topics.

$21 Chat With Writer
Accounting & Finance Master

ONLINE

Accounting & Finance Master

I have worked on wide variety of research papers including; Analytical research paper, Argumentative research paper, Interpretative research, experimental research etc.

$47 Chat With Writer
Financial Solutions Provider

ONLINE

Financial Solutions Provider

This project is my strength and I can fulfill your requirements properly within your given deadline. I always give plagiarism-free work to my clients at very competitive prices.

$20 Chat With Writer
Top Grade Essay

ONLINE

Top Grade Essay

I am an academic and research writer with having an MBA degree in business and finance. I have written many business reports on several topics and am well aware of all academic referencing styles.

$50 Chat With Writer
Top Grade Tutor

ONLINE

Top Grade Tutor

After reading your project details, I feel myself as the best option for you to fulfill this project with 100 percent perfection.

$49 Chat With Writer

Let our expert academic writers to help you in achieving a+ grades in your homework, assignment, quiz or exam.

Similar Homework Questions

Managerial Economics - Clipsal meter box dimensions - What risks for a project have the highest priority - Use the following cell phone airport data - Holy sonnets death be not proud by john donne - New perspectives excel 2019 module 7 sam project 1a - Skinhead deadhead everybody gone bad - The table shows the position of a motorcyclist - Concept Paper - History of Labor Relations - Mousetrap car forward and backward - Creed shreds 4 a thousand yasseahs - Wk 7 DQ 2-838 - Fibrinolytic therapy vs thrombolytic therapy - What is a highwayman - Vy maloo for sale - How to make an ethogram - The elephant vanishes summary sparknotes - Morphological analyzer for english - Capsim CompXM Simulation - Research paper scaffold worksheet - HR-2 - Evidence-Based Practice and the Quadruple Aim - Bletchley to kingston milton keynes bus - Malcolm x coming to an awareness of language essay - Psychotherapy replies - Norm violation paper examples - Who is clarissa's father in reign - Trac rite roll up doors - Acrobat pdfmaker 17 for word - Solomon four group design advantages - Biosecurity and bioterrorism - House captain speech year 6 - Describing words sentences for grade 1 - ?? same-day +27833173182 CHITUNGWIZA ABORTION CLINIC // PILLS,,,, - Swot analysis of netflix 2018 - Essay - Urgent 3 - I'm still here poem - What are the importance of family resources - Types of soft engineering - Nur 513 introduction to advanced registered nursing - Yams the king of crops things fall apart - Motivation - 2 questions 2 Separate answers - North lake senior campus - Kim cheng boey stamp collecting - Obligations and contracts reviewer - Apex pro mxr 100 - Does rap stand for rhythm and poetry - Difference equation z transform example - Network rail rule book - Auditting - Structure of oedipus rex - Titration of vinegar lab report answers - Copper sulphate flame test - Buses from bow road - Lenscrafters operational management challenges - Astable multivibrator using 555 timer calculator - Martha stewart seeds kmart - Master of biotechnology clinical microbiology rmit - Unit V Annotated Bibliography - Case study - Difference between positive and negative feedback homeostasis - Social work role play scripts - As nzs 3000 2018 free - POL 201 American National Government NO PLAGIARISM PLZ - Andrew danks neurosurgeon frankston - Variation of fermi level with temperature in intrinsic semiconductor - Mtv indies that's how we roll songs list - Consumer behavior henry assael pdf - The pirates bay free music download - 3.3 k ohm resistor color code - Morrisons cooked meat counter - Bus 499 business administration capstone exam - Instructions - Frederick rathbone burgess traditional kitchenware - Architecture readings and a 300-word comment - What are some criticisms of determinate sentencing - Essay global 110 - 21st century soldier competencies - 440 hz sine wave - Medical researchers followed 6272 swedish - Recreation and wellness intranet project gantt chart - Freelance resume sample doc - Imperial jewelers is considering a special order for 20 - Review of bill - The misadventures of king arthur - Forensic accounting rufus pdf - Forward and reverse characteristics of silicon diode - Hectors world episode 1 - Order 2227248: Interview IEP collaborative school team - Ted talk the revolutionary power of diverse thought - Big river road eildon victoria - Big two hearted river part 2 - Oakleigh indoor sports & inflatable world - Ergogenic Aids in Sport - LAW 4 - Standard costing exercises and answers - A packing plant fills bags with cement