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Wiki layered closure in acl reconstruction & total joints

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AESCPC

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Murells Inlet, SC
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Please Help !!! My doctors want to bill for layered plastic closures using codes 12032-12037 for layered plastic closures. I disagree as most of the procedures indicate the incision is closed with sutures, staples and/or steri-strips. Not to mention these series of codes description is repair of wounds.....:confused::confused:

I will take any sugestions.

Thank you
 
You are correct that closures are included in a surgical procedure. How are they going to work on a bone without cutting through the skin and subcutaneous tissue???


The NCCI edits have guidelines before each section. This is from the beginning of the 20000 section:

30. Closure/repair of a surgical incision is included in the global surgical package. Wound repair CPT codes 12001-13153 shall not be reported separately to describe closure of surgical incisions for procedures with global surgery indicators of 000, 010

and can be found here https://www.cms.gov/Medicare/Coding/NationalCorrectCodInitEd/index.html
 
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