tci General Surgery Coding Alert - 2012 Issue 9

You Be the Coder: Bone Up on Scar Revision

Question: For a patient requiring revision of a scar on his left leg, our surgeon excised a 19 cm strip of skin containing scar tissue and performed layered closure. Should we use a benign lesion excision code for this service? Indiana Subscriber Answer: No, you should not use a benign lesion excision code for this service, either alone or in combination with intermediate or complex closure codes. Instead, you should list a complex wound repair code for the service. Specifically: For complex repair of a 19 cm defect on the leg, list 13121 (Repair, complex, scalp, arms, and/or legs...

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