- 12001-12007: simple repair to scalp, neck, axillae, external genitalia, trunk, and/or extremities (including hands and feet)
- G0168: wound closure using tissue adhesive only when the claim is being billed to Medicare.
How do I ensure accurate coding for laceration repairs?
Experienced medical billing and coding service providers will ensure accurate coding for laceration repairs by considering the complexity, location and subcategory, size, and whether multiple repairs were performed. Comprehensive physician documentation is vital to determine the complexity and size of the repair (s).
How do you code multiple lacerations on the same wound?
If the patient had multiple lacerations of the same repair complexity on the same body part, the lengths of each wound should be added together to determine the code.
How do you code a wound repair?
The length of the wound closed (in centimeters): For example, code 12001 should be assigned for a repair involving any of the relevant anatomical locations that are 2.5 cm or less, while code 12002 should be used for repairs that are 2.6 cm to 7.5 cm. All the wounds repaired should be coded.
What is the goal of laceration treatment?
The goal of laceration treatment is to repair a wound safely without increasing risk of infection and with optimal cosmetic results.
How do you bill a laceration repair?
Simple repairs (CPT 12001–12021) have two major groups of locations that are categorized together. Any repairs in these areas should have their lengths added together. For example, if separate laceration repairs of a hand and foot are done, their length should be added together and reported as one repair.
How do you code a wound repair?
Wounds repaired with only adhesive strips are inclusive of the E/M code. Wounds repaired only with Dermabond or other tissue adhesive are reported to Medicare with HCPCS code G0168. Commercial carriers allow Simple Repair codes (12001-12021) to be reported.
What is the coding rule for coding wound repairs?
When coding for wound repair (closure), you must search the clinical documentation to determine three things: The complexity of the repair (simple, intermediate, or complex) The anatomic location of the wounds closed. The length, in centimeters, of the wound closed.
What does CPT code 12002 mean?
CPT® Code 12002 in section: Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities (including hands and feet)
What is a simple laceration repair?
Sutures, tissue adhesives, and wound tapes may all be used for laceration repair. Tissue adhesives and wound tapes are suitable for smaller lacerations that are not subject to substantial tension.
How do you code multiple lacerations?
The length of multiple lacerations of the same type and defined as the same anatomic location are summed and reported with a single CPT code. For multiple lacerations of either different types or defined as different anatomic locations, report a code for each laceration.
What are the three types of wound repairs?
There are three categories of wound healing—primary, secondary and tertiary wound healing.
Can you code a splint with a laceration repair?
Splint and Suture If the physician placed the splint you can code for both the splinting and laceration repair in additon to the E&M.
What does CPT code 12051 mean?
12051-Intermediate repair, face, ears, eyelids, nose, lips, mucous membranes, 2.5cm or less.
What is procedure code 12032?
12032 - CPT® Code in category: Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet)
How do I fix error code 12002?
How to fix the issue reported by error code "http error 12002"Download Outbyte PC Repair application See more information about Outbyte; uninstall instructions; EULA; Privacy Policy.Click the Scan Now button to detect issues and abnormalities.Click the Repair All button to fix the issues.