complex closure

  1. L

    Wiki Size of Complex Closure documentation WITHIN the body of the note

    Recently UHC has been denying Repair-Complex closure (13121-13122) charges because they say "the size is not documented within the body of the note." My MDs have always documented the final size at the top in the Procedures sections. "OPERATIONS AND PROCEDURES PERFORMED: 1. Wide local...
  2. A

    Wiki Complex closure

    I would like a little advice about this report for complex closure. Based on what I've read online, I'm not sure if this is enough of info to report complex closure. So I just want to make sure I code this right. The doctor goes into detail of the procedure for the excision, but when he does...
    • AN2114
    • Thread
    • complex closure complex triple layer closure excision excision of forehead mass
    • Replies: 4
    • Forum: ENT/Otolaryngology
  3. A

    Wiki Excision deep forehead mass

    The doctor removed a forehead mass that went to the skull and complex multilayer closure. The codes I found for forehead mass are 21011-21014 but none of those codes involve the bone. I also looked at code 11420. The doctor is waiting for the pathology report but he believes it might be a...
    • AN2114
    • Thread
    • 11420 21011 bone complex closure dermoid cyst forehead mass mass modifier 22
    • Replies: 4
    • Forum: ENT/Otolaryngology
  4. N

    Wiki MOHs Surgery Complex Closure Add-On Code(s)

    My clinic has just added a MOHs surgeon and I have a question about the add-on codes for a complex repair. This is the pertinent info from the surgery note: Basal Cell Carcinoma, location: left forehead, MOHs 1 stage, 1 block; post-op length 3.2 cm, complex repair performed. Basal Cell...
  5. sferguson

    Wiki Comp Closure w/ Lymphadenectomy

    I have searched the forums and cannot find an answer. I need to know if a complex layered closure is included with a Lymphadenectomy. My surgeon has dictated for this procedure in detail and it looks like it should be a seperate code.
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