tci ED Coding & Reimbursement Alert - 2004 Issue 10

You Be the Coder: Layers Don't Always Determine Repair Code

Question: We received the following documentation of a laceration repair: 3.5-cm laceration of the chin involving subcutaneous, muscle, stellate, irregular. Sensation is normal, vascular intact. Anesthesia: lidocaine 1% local and prepped with hibiclens. Repair: Skin - #15 - 6-0 prolene SubQ - #8 - 5-0 Chromic Muscle/tendon - #4 - 5-0 Chromic.How should we report this?      Mississippi SubscriberAnswer: You should consider using code 12052 (Layer closure of wounds of face, ears, eyelids, nose, lips, and/or mucus membranes; 2.6 cm to 5.0 cm), because this repair meets the requirements...

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