tci General Surgery Coding Alert - 2011 Issue 7

Surgical Repair: 13100: Layers Plus Complexity Brings Home More Pay

Dig deeper to find the key to 'simple,' 'intermediate,' and 'complex' closures. Getting the wrong repair code could cost your practice plenty -- for instance, you'd lose $214 for a 2.5 cm complex trunk closure wrongly billed as a simple trunk repair. And considering that some procedures include simple closure but allow you to separately bill for complex closure, you stand to lose even more if you don't distinguish repair complexity. Read on for our experts' advice on how to assess the three closure levels and assign the best codes to earn your practice the pay...

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