Wiki COMPLEX OR INTERMEDIATE REPAIR?

[wynonna]

In surgery:
Graft sutured in place using 4-0 chromic sutures to tie down edges .
Xeroform and cotton was sutured using 2-0 silk sutures.
A biopsy was taken and 2 marking stitches for anterior and superior were used.
Split thickness graft harvested with several incisions.
The donor site was dressed in a sterile fashion and the leg tucked back.
The graft was taken from the leg and put in oral cavity for squamous cell carcinoma.
Wide local excision and reconstruction of floor of mouth using a split thickness graft. I see this is 15120.
Question #1: Is this complex or intermediate repair? 131xx or 120xx?
Question #2: Is repair coded to donor or recipient site?
thank you

 

[ksobota]

I don't see anywhere that a complex or intermediate repair was done. Plus it looks like the complex and intermediate repairs would bundle into the graft anyway (they bundle when I put them in encoder). If the leg (donor site) required another graft or local skin flaps for closure, then that is billable.

15120 (and possibly 15121) would be the graft code as it's going to the mouth. The grafts are coded by recipient site. 41116/41108 for the excision/biopsy I would guess if the excision was done by your surgeon.