tci General Surgery Coding Alert - 2003 Issue 1

Reader Question: Scar Revision Coding Depends on Documentation

Question: The surgeon performed a bilateral mastectomy on a patient and has scheduled her for a revision of bilateral chest-wall scars. How can I code this? New York SubscriberAnswer: More information is necessary (what kind of revision was done, how deep, was there a prosthetic, etc.) to provide a definitive answer, but there are a number of possible scenarios, depending on the circumstances: 1. 13100-13102 (Repair, complex, trunk ...): Scar revisions that primarily involve the skin and subcutaneous tissue often involve complex repairs. The code includes the scars excision. Choose the appropriate code depending on how large the...

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