tci ED Coding & Reimbursement Alert - 2020 Issue Q1

Reader Question: Check 60000 Series for Lid Repairs

Question: We saw a patient with an eyelid laceration and the ED physician repaired it. We weren’t sure which of the integumentary system codes applied to the situation. Can you advise? Pennsylvania Subscriber Answer: Look to the integumentary section of your CPT® code book to find the correct code for an eyelid laceration repair. Codes from the repair (closure) section of CPT® include codes for eyelid repairs such as 12011 (Simple repair of superficial wounds of face, ears, eyelids, nose lips…; 2.5 cm or less). Select the most accurate code depending on the thickness of the repair...

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