complex wound closure

  1. B

    13160 Late Closure of Wounds in Office Setting

    I have a claim where 13160 was billed with a 58 modifier after surgery. Provider did a late closure of the wound in the office setting. Aetna denied stating "following CMS guidelines" it cannot be billed in the professional setting, but I see nothing in Codify/CMS/otherwise that states it can't...