AAPC - Back to school
Results 1 to 3 of 3

Thread: Complex Laceration Repair

  1. #1

    Default Complex Laceration Repair

    AAPC: Back to School
    Would trimming the skin and fatty tissue at the wound prior to the sutures constitute a complex repair
    Last edited by Donna G; 06-11-2010 at 11:32 AM. Reason: spelling error

  2. #2


    I would say no. Not sufficient unless there is much more documented in the procedure report. Here is a quick paste of the 3 repairs

    Simple repair codes 12001 - 12021 are used when the wound only involves the epidermis and/or dermis. The wound does not extend into the deeper subcutaneous tissues. The repair is a simple one layer closure and may be performed with the use of tissue adhesives, staples or suture material.
    Effective Jan. 1, 2005, code G0168 wound closure using adhesives only, was changed to an APC status indicator of "N" and will no longer be paid separately. A simple repair reported with code only G0168 will not be reimbursed. The code for the simple repair is assigned from code range 12001-12018 and an additional code for the wound adhesive G0168 may also be assigned.

    Intermediate repair codes 12031 – 12057 are used when wound repair requires closure of the subcutaneous tissue beneath the dermis. Intermediate wound repair includes layered closure of the wound and also single layer closure of heavily contaminated wounds, requiring extensive removal of particulate matter. If the deeper layers are closed with suture material and the superficial layer is closed with a tissue adhesive, you may assign two codes, one from code range 12031-12057 for the intermediate repair and G0168 for the use of the tissue adhesive.

    Complex repair codes 13100 – 13153 are used for the repair of wounds requiring more than layered closure. Complex repair may involve scar revision, extensive undermining, and placement of stents or retention sutures. These codes also include the layered repair of lacerations that require debridement of the wound edges before the wound can be closed. A wound described as complicated or complex will not necessarily require a complex closure. A physician may label a repair as "complex," however, it must meet the criteria above for a complex repair code to be assigned.

  3. #3


    Thank you

Similar Threads

  1. Complex laceration repair and Tendon repair
    By Cheryl O in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 06-08-2013, 01:11 PM
  2. complex laceration repair
    By ggparker14 in forum Emergency Department
    Replies: 1
    Last Post: 04-02-2013, 11:48 AM
  3. PLEASE help.. complex laceration.. tks
    By marie26 in forum Orthopaedics
    Replies: 0
    Last Post: 04-02-2013, 10:29 AM
  4. complex laceration help
    By marie26 in forum Orthopaedics
    Replies: 0
    Last Post: 03-06-2013, 08:40 AM
  5. Need Help coding Closure of complex laceration
    By Hopp in forum General Surgery
    Replies: 3
    Last Post: 03-20-2012, 09:59 AM

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.