We all know the CPT definition ". . . require layered closure of one or more of the deeper layers of subcutaneous tissue and superficial (non-muscle) fascia, in addition to the skin . . .'
Does this mean:
1) One or more of the deeper layers of subq. Period. AND ALSO closure of the superficial fascia. i.e. requires superficial fascia to be closed.
2) "Deeper layers" = includes subq and superficial fascia and you only have to close a minimum of one of those deeper layers. i.e. does not require superficial fascia.
I have read so many differing interpretations on this. The AAD sides with #2 (I directly emailed their coding@aad.org email). I know there is a CPT Assist November 2019 that also says " . . . requires layered closure of one or more of the deeper layers of subcutaneous tissue and in which superficial (non-muscle) fascia is required in addition to the skin . . . "
Does this mean:
1) One or more of the deeper layers of subq. Period. AND ALSO closure of the superficial fascia. i.e. requires superficial fascia to be closed.
2) "Deeper layers" = includes subq and superficial fascia and you only have to close a minimum of one of those deeper layers. i.e. does not require superficial fascia.
I have read so many differing interpretations on this. The AAD sides with #2 (I directly emailed their coding@aad.org email). I know there is a CPT Assist November 2019 that also says " . . . requires layered closure of one or more of the deeper layers of subcutaneous tissue and in which superficial (non-muscle) fascia is required in addition to the skin . . . "