Results 1 to 2 of 2

Wound repair- RT & LT thigh

  1. Default Wound repair- RT & LT thigh
    Medical Coding Books
    My physician did would repairs on the right and left thighs.

    Left Thigh was a laceration 2.5 cm. MD made eliptical excision 4cm in length, irrigated and explored wound. Simple closure.

    Right thight was 2.5 cm laceration. Just irrigation and closure w/ 2 mattress sutures.

    My first question is what to code L. Thigh repair? 12001 for 2.5cm original laceration or the 12002 which would be the 4cm excision created.

    my second question is if it is would I add both RT & LT thigh repairs together as you add together lengths of areas in the same classification, or since they are RT & LT if I could use two individual codes w/ 50- RT & LT mods?

    PROCEDURE NOTE: After the induction of satisfactory general anesthesia,
    the patient was prepared and draped in a sterile manner in the supine
    position. Local anesthesia, consisting of 0.5 percent Marcaine with
    epinephrine, was infiltrated into the skin of both operative sites. An
    elliptical skin incision was made around the wound over the left ileum
    for a total length of 4 cm. Hemostasis was achieved with
    electrocautery. The wound cavity was palpated with an index finger, and
    the bone fragments palpated. There were not on laying free in the
    wound, and were left in place. There is no palpable foreign material.
    The wound was lavaged with nearly 3 liters of saline using a Pulsavac
    device. The wound was then flushed with 0.5 percent Marcaine with
    epinephrine and the skin approximated using interrupted simple and
    vertical mattress sutures of 3-0 nylon.

    Attention was turned to the right thigh wound which, again, was
    infiltrated with 0.5 percent Marcaine with epinephrine and the skin
    debrided. The wound was palpated with findings as above. The wound was
    lavaged, again, using the Pulsavac with 1 liter of saline. The skin was
    reapproximated using 2 interrupted vertical mattress sutures of 3-0
    nylon. Sterile light dressings were applied, and the patient awakened
    and sent from the operating room in a stable condition.
    Rachell Lindley, CPC
    Multispecialty Clinic Coding
    Internal Medicine
    General Surgery
    Family Medicine

  2. #2
    Columbia, MO
    you never use LT, RT, or 50 modifiers for laceration repairs, since these appear to be the same type of repair in the same area then add the lengths together, and yes you would use the lenghts of the incision created.

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. Replies: 0
    Last Post: 02-20-2014, 01:22 PM
  2. Open wound/laceration repair with a tendon repair
    By twosmek in forum Orthopaedics
    Replies: 1
    Last Post: 04-19-2011, 12:35 PM
  3. Wound Repair
    By tbramhall in forum Emergency Department
    Replies: 3
    Last Post: 10-24-2008, 02:56 PM
  4. Revision of Hernia Repair & Wound Exploration
    By t.rock.tara in forum General Surgery
    Replies: 3
    Last Post: 09-11-2008, 03:43 PM
  5. Wound Repair
    By kandigrl79 in forum General Surgery
    Replies: 1
    Last Post: 03-26-2008, 02:54 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.