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Thread: delayed primary closures

  1. #1

    Default delayed primary closures

    AAPC: Back to School
    What do I use for a delayed primary closures when no dehiscence or infection is involved? Patient developed compartment syndrome of the hand and carpal tunnel as a result of IV infiltration. My ortho performed a decompressive fasciotomy and carpal tunnel release, and then two days later, irrigated and closed the five incisions that were created to treat the compartment syndrome.

    I know I'll need a 58...is it something where I could bill the initial 26037/52 and 64721/52 because he didn't close the wounds, and then bill the exact same codes with 52/58 when the wounds were closed? Not sure what to do with this as it doesn't really meet 13160 or 12020-12021.


    Kara Hawes, CPC

  2. #2



    My coding software says unlisted (17999) for the secondary closure. I'd have to agree in this situation. Don't forget your complication diagnosis codes (999.9, 998.89)!
    Bruce Crandall, CPC
    North Carolina Specialty Hospital
    Durham, NC

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