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Can you bill a late closure 13160 3 days later

  1. #1
    Default Can you bill a late closure 13160 3 days later
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    New question, Tammy if you are out there, I'm listening! (:
    The doctor sometimes bills for a late closure of the wound CPT code 13160 3 days after the 28003(which has a 90 day global) Is this incorrect? Can he do it if there is a reason?/

  2. #2
    Yes, if this is documented as a stage procedure and the reasoning why the physician needs to do a secondary closure (eg, wound had to drain do to infection). CPT 13160 will need a 58 modifier when you bill it.
    Tammy Hulsey-Ferguson, CPC
    Past President AAPC Wichita, KS Local Chapter

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