tci ED Coding & Reimbursement Alert - 2015 Issue 2
Reader Question: Check Location Length and Layers When Assigning A Laceration Repair Code
Question: Can we report a complex laceration repair code use given this chart note? 10 cm linear laceration of right upper forehead; betadine, wound irrigation:saline,foreign body removal:yes, multiple pieces of dirt and gravel removed by hand and irrigation, re-explored and no dirt or FBs seen; lidocaine:1%, with epinephrine 10cc square; 2 layers, deep layers repaired w/simple interrupted absorbable 3-0 vicryl sutured and skin layer repaired w/staples, 13. Wisconsin Subscriber Answer: The first question is whether “upper forehead” means the face or the scalp. Assuming face, the code would be 12054(Repair, intermediate, wounds of face, ears, eyelids, nose...
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