AAPC - Back to school
Results 1 to 3 of 3

Thread: Complex repair revisited

  1. #1
    Join Date
    Apr 2007

    Question Complex repair revisited

    AAPC: Back to School
    I have reviewed all the posts on complex repairs but didn't see this issue addressed.

    I started coding for a new surgeon and he is insisting that an excisional debridement before a repair ALWAYS constitutes a complex repair. I see no differentiation for excisional debridement in CPT, and sometimes his documentation doesn't even indicate a layered closure even though he's done an excisional debridement.

    Can anyone clarify for me?

    Thanks in advance....

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default CPT Guidelines

    Without seeing the actual documentation it is hard to answer correctly. But read the CPT Guidelines for Repair (Closure) - in the 2010 CPT Professional Editition, these are on page 64.

    Complex repair includes the repair of wounds requiring more than layered closure, viz., scar revision, debridement (eg. traumatic lacerations or avulsions), extensive undermining ... (emphasis added by FTB)

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Join Date
    Apr 2007


    Yes, I read the guidelines, I guess I didn't phrase my question correctly. This doc does a debridement, usually excisional, before all repairs. Not all these injuries are traumatic or complicated. Does the fact that the doctor documented the debridement provide enough "proof" that the repair can be coded as complex?


Similar Threads

  1. Complex Repair - Do I use an intermediate repair
    By ladawn.brown in forum Dermatology
    Replies: 0
    Last Post: 01-08-2015, 10:18 AM
  2. Complex repair
    By vkratzer in forum Dermatology
    Replies: 1
    Last Post: 03-12-2014, 10:05 AM
  3. 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
  4. Complex Repair - MD did a complex repair
    By smfinch in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 08-13-2012, 10:34 AM
  5. Intermediate VS Complex repair
    By jenyb in forum Emergency Department
    Replies: 2
    Last Post: 05-07-2011, 03:57 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.