Ob-Gyn Coding Alert

Reader Question:

CCI 18.3 Zeroes In on Repair Codes and I&D

Question: I saw that the Correct Coding Initiative (CCI) version 18.3 came out. Are there any edits that affect ob-gyn practices?

Tennessee Subscriber

Answer: You will not find any ob-gyn codes bundled this time around.

However, CCI 18.3 does bundle all of the repair codes (12001-12018 for simple repair, 12020-12021 for superficial wound dehiscence, 12031-12057 for intermediate repair, and 13100-13153 for complex repair) into all the integumentary I&D codes (notably, 10060, 10061, 10140, 10160, and 10180). The indicator is "1," but for Medicare, that means the repair must be in a different location than where the physician performed the I&D.  

Also, CCI 18.3 bundles these same codes into 11976 (contraceptive implant removal), 11980 (hormone implant) and 13160 (secondary closure of wound dehiscence).

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