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layered closure codes

  1. Default layered closure codes
    Medical Coding Books
    When can you use layered closure codes in addition to original procedure code. ex. can you code layered closure with an inguinal hernia repair? How about with the removal over a skin lesion that requires the skin to be closed in layers (intermediate)?

  2. #2
    Greeley, Colorado
    Hi - I responded to your hernia question in another thread. As for the question on intermediate repair for a lesion excision - yes, in this case intermediate or complex closure can be reported separately. Read the CPT instructions under Excision-Benign Lesions/Excision-Malignant Lesions (pt 54 and 55 of 2008 CPT Professional). Kind of the exception to the rule in the surgical guidelines. Hope that helps.
    Lisa Bledsoe, CPC, CPMA

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