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#1
06-14-2012, 12:02 PM
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complex closure?
Hello,
I have a plastic surgeon who did an excision left lower lip mass. op note reads: The patient is brought to the operating room and after adequate anesthesia,patient was prepped and draped in the usual sterile manner. I excised the mass in a vertical line, following Langers line. Meticulous hemostasis was obtained. The wound was closed in 2 layers. The sub-Q layer was closed using 5-0 Vicryl and the skin was closed using 5-0 chromic. . Physician is clding this as a complex closure. I see an intermediate closure. Input please. Thank you Paula 
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#2
06-15-2012, 07:38 AM
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By AMA CPT-4 def., complex repair includes wounds requiring more than layered closure - scar revision, debridement, extensive undermining, stents, or retention sutures. This appears to be a 'clean' repair, requiring two layers of suture, as stated. Which to me, aligns with an intermediate repair.
Last edited by plasticscpt; 06-15-2012 at 07:40 AM.
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