Primary Care Coding Alert

Question: A patient with a 1.5-cm laceration on his eyebrow presented to our practice. Our physician performed an intermediate repair. The patient also had a 3.6-cm forehead laceration that required a simple repair. Should we add these two wound lengths together and then code the intermediate repair, or does each get its own code?New York SubscriberAnswer: In this instance, you should report code 12051 (Repair, intermediate, wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less) for the eyebrow repair and 12013 (Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm) for the forehead repair.Caution: You should only combine or add the lengths of like wounds when they're located in the same anatomic area and are of the same classification. In this case, you would report the intermediate repair separately from the simple repair.Remember: You also [...]