Share |

Surgical Coding: Scar Revision on Previous Mastectomy Site

Posted on 15. Dec, 2009 by in Coding Challenge, Hot Coding Topics

Tip: Find mastectomy scar revision in wound repair

Question: Our surgeon performed a scar revision on the site of a previous mastectomy. The procedure involved excising a 16.5 cm curved scar before performing a layered closure. How should we code this?

Answer: You should use complex wound repair codes for the scar revision procedure that you describe. Specifically, you should use the trunk codes 13101 (Repair,complex, trunk; 2.6 cm to 7.5 cm) and +13102 (… each additional 5 cm or less [List separately in addition to code for primary procedure]).

Measure repair: Whether straight, curved, angular, or stellate, the operative report should note the length of the repair. Because your report stated 16.5 cm, you should report 13101 for the first 7.5cm and +13102 x 2 for the additional 9 cm.

You should not code separately for the scar excision. When the surgeon removes the scar, he creates the “defect”...

Or
Signup to read articles and receive SuperCoder Bolt Newsletter



Register for Article Access
Access our articles and receive SuperCoder Bolt Newsletter.
You will also receive
  • Free updates on CPT, ICD-9, HCPCS, Medicare, NCCI edits, and ICD-10.
  • Discounts on 3rd party offers
SuperCoder Bolt
Register
You must have javascript enabled to use this form

If you've already signed in and are still seeing this screen, click here to refresh the page.


Tags: , , , , , , ,