Complex wound repair of open fracture

CJames72

Contributor
Messages
12
Best answers
0
My orthopaedic trauma physician wants to bill intermediate and/or complex wound repair for the closure of an open fracture. An open fracture debridement was also performed. CPT 13121 does come up bundled with 11012, but not the ORIF code. I have another case involving 12034 which does not come up bundled. It is my understanding that closures are included in the treatment of the fracture and/or debridement as the wound cannot be left open. Does anyone have specific links for documentation or additional information regarding this particular coding scenario?

Thanks.
 

mitchellde

True Blue
Messages
13,538
Location
Columbia, MO
Best answers
2
The ORIF does include the closure all open surgeries include the closure, look in the coders desk reference for procedures and read the procedure description it will describe the closure as a part of the procedure. Not all bundled type services will be found in CCI if it is a combination that could never be done as it is always an inherent part of the procedure it would not be in the CCI edits but still be bundled with.
 
Top