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Thread: Excision of hypertropic painful scar

  1. #1
    Join Date
    Apr 2007

    Default Excision of hypertropic painful scar

    AAPC: Back to School
    Hello All !
    I need expert advise. Please tell me what code is used for an excision of painful scar ?????? Doctor is performing an ORIF of ulnar shaft nonunion. It's probably included in the ORIF but I'm stumped anyway !
    Thanks in advance !

  2. #2
    Join Date
    Apr 2007


    Ifthe painful scar was removed during the approach (which is more than likely the case) then yes it would be incidental.

    If not, then you would probably use an excision code from the integ section.

    hope this helps
    Mary, CPC,COSC

  3. #3
    Join Date
    Apr 2007
    Milwaukee WI

    Default Complex Repair

    If, as Mary said, the scar revision was NOT part of the approach to the ORIF, then look at the guidelines for complex repair: "includes ... scar revision ..."

    If the closure doesn't require complex repair, then use removal of lesion code.

    Again, ONLY if this was NOT part of the approach/closure for the ORIF.

    F Tessa Bartels, CPC, CEMC

  4. #4
    Join Date
    Apr 2007


    It seems it is part of the approach. Dr states in report "Antibiotic was given preoperatively. Following this, the hypertrophic scar was then identified and excised through the soft tissue and down to the fracture site".
    Thank you so much for the feed-back !

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