tci Part B Insider - 2015 Issue 25

Reader Question: Payer May Have Opinion on Laceration Repair Method

Question: If our provider used a tissue adhesive instead of placing a suture, can this procedure be reported using laceration repair codes (such as 12001), or should I report HCPCS code, G0168? Answer: Depending on the payer, you have two code choices: 12001 (Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities [including hands and feet]; 2.5 cm or less) or G0168 (Wound closure utilizing tissue adhesive[s] only). You can typically use repair codes from the CPT® range, 12001-13160 when your physician performs wound closure using sutures, staples, or tissue adhesives. So, it...

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