Revision of keloid scar

gmitchum

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What is the best code to use for revision of a keloid scar on the abdomin? The patient had a tummy tuck some time ago and now has a disfiguring scar that she wants removed. Should we use 15786 or something else?
Thanks, Gail
 

Erica1217

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You can bill the appropriate benign lesion excision code (11400 - 11406) and probably a complex repair code(s) (13100 - 13102).

CPT Guidelines:

Excision (including simple closure) of benign lesions of skin (eg, neoplasm, cicatricial, fibrous, inflammatory, congenital, cystic lesions), includes local anesthesia. See appropriate size and area below.

and

Complex repair includes the repair of wounds requiring more than layered closure, viz., scar revision, debridement (eg, traumatic lacerations or avulsions), extensive undermining, stents or retention sutures. Necessary preparation includes creation of a defect for repairs (eg, excision of a scar requiring a complex repair) or the debridement of complicated lacerations or avulsions. Complex repair does not include excision of benign (11400-11446) or malignant (11600-11646) lesions.

:) Erica
 
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