AAPC - Back to school
Results 1 to 6 of 6

Thread: delayed primary closure

  1. #1
    Join Date
    Apr 2007

    Default delayed primary closure

    AAPC: Back to School
    I am uncertain as to what CPT code to use when coding a delayed primary wound closure. For example, if a patient has a simple amputation (toe) and returns 1 week later for closure, there are no complications, the wound might be irrigated and then is sutured. Would this be CPT 13160/12020 or some other repair code? There is no dehiscence.



  2. #2


    13160 is for secondary closure (it does not mean 'delayed closure'). For secondary closure there should had been a surgical procedure(wound) before which went for wound gaping( dehiscence) of its own accord. So it is not correct code for our purpose.
    12020 is also for wound dehiscence but superficial which goes for simple closure or just packing.
    This delayed suturing/ or repair was intentional and it was like a staging procedure the surgeon opted for. Is in it? It could go with Modifier- 58.
    I hope I am at the right path.
    let us see another experts opinion to come through, (if you are not convinced!) and for the benefit of accuracy.
    Thank you

  3. #3
    Join Date
    Apr 2007


    sometimes when the physicians amputate the toe, for example, they plan on closing the wound later so yes, it's staged and modifier 58 would be great but I am unsure what CPT code to use for a delayed primary closure.


  4. #4


    I opt for the Primary procedural code you used for the Primary procedure with modifer 58 appended to it
    The patient is still in the global right?

  5. #5
    Join Date
    Apr 2007


    Yes, still in global. Thanks for all your help/suggestions.

  6. #6

    Default delayed primary closure

    I'm drawing a blank. If the surgeon performs the procedure, packed the surgical wound and wrapped, with the intent to do additional debridement and closure 2-3 days later, would the original procedure require a modifier 52 for reduced services? Thanks.

Similar Threads

  1. Wound exploration and delayed primary closure
    By SCCL5558 in forum General Surgery
    Replies: 0
    Last Post: 06-06-2013, 05:17 PM
  2. Delayed primary closure & wound vac
    By mrolf in forum Orthopaedics
    Replies: 1
    Last Post: 10-29-2012, 12:06 PM
  3. Delayed Closure
    By svevans3 in forum Cardiovascular Thoracic
    Replies: 0
    Last Post: 07-06-2011, 02:30 PM
  4. Delayed closure help!
    By mindyanna in forum Orthopaedics
    Replies: 3
    Last Post: 04-18-2011, 07:34 AM
  5. delayed primary closure
    By pituffs in forum General Surgery
    Replies: 8
    Last Post: 07-10-2009, 12:38 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.