Full Answer
2021 ICD-10-CM Diagnosis Code S61.401A Unspecified open wound of right hand, initial encounter 2016 2017 2018 2019 2020 2021 Billable/Specific Code S61.401A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Right hand injury, degloving ICD-10-CM S61.401A is grouped within Diagnostic Related Group (s) (MS-DRG v38.0): 604 Trauma to the skin, subcutaneous tissue and breast with mcc 605 Trauma to the skin, subcutaneous tissue and breast without mcc
Unspecified open wound of left hand, initial encounter. S61.402A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
Disruption of wound, unspecified, initial encounter. 2016 2017 2018 2019 Billable/Specific Code. T81.30XA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM T81.30XA became effective on October 1, 2018.
Complex Wound RepairsCPT CodeDescription131012.6 cm to 7.5 cm13102each additional 5 cm or less13120Repair, complex, scalp, arms, and/or legs; 1.1 to 2.5 cm131212.6 cm to 7.5 cm10 more rows•May 29, 2020
Complex repairs were defined as layered closure plus scar revision, debridement, extensive undermining, or use of stents or retention sutures and preparation for the repair that could include creation of a limited defect or the debridement of complicated lacerations or avulsions.
11450CPT® Code 11450 in section: Excision of skin and subcutaneous tissue for hidradenitis, axillary.
Wounds repaired with only adhesive strips are inclusive of the E/M code. Wounds repaired only with Dermabond or other tissue adhesive are reported to Medicare with HCPCS code G0168. Commercial carriers allow Simple Repair codes (12001-12021) to be reported.
There are three main types of wound healing, depending on treatment and wound type. These are called primary, secondary, and tertiary wound healing. Every wound goes through various stages of healing, depending on the type of wound and its severity.
Complex. A complex wound repair code includes the repair of a wound requiring more than a layered closure (e.g., scar revision or debridement), extensive undermining, stents, or retention sutures. It may also include debridement and repair of complicated lacerations or avulsions.
CPT® Code 49180 in section: Excision and Destruction Procedures on the Abdomen, Peritoneum, and Omentum.
L73. 2 - Hidradenitis suppurativa. ICD-10-CM.
Hidradenitis is a chronic inflammatory skin disease characterized by recurrent nodules and abscesses, typically of apocrine gland-bearing skin. Lesions can progress to sinus tracts and fistulae, and, when healed, can lead to severe scarring and fibrosis.
A complex excision / repair occurs when primary closure of adjacent skin is not possible, so a flap or graft is required to deal with the wound. A “flap” is when tissue is taken from a local surrounding area and moved to where tissue is missing.
Coding Multiple Repairs When multiple wounds are repaired, check if any repairs of the same classification (simple, intermediate, complex) are grouped to the same anatomic area. If so, per CPT® coding guidelines, the lengths of the wounds repaired should be added together and reported with a single, cumulative code.
Simple repairs (CPT 12001–12021) have two major groups of locations that are categorized together. Any repairs in these areas should have their lengths added together. For example, if separate laceration repairs of a hand and foot are done, their length should be added together and reported as one repair.
Your CPT® codebook is the definitive source, providing full definitions for each type of repair:#N#“ Simple repair is used when the wound is superficial; eg, involving primarily epidermis or dermis, or subcutaneous tissues without significant involvement of deeper structures, and requires simple one layer closure.”#N#Simple repairs are—as the name indicates—fairly straightforward, and require only single-layer closure of the affected area. Such repairs involve only the skin; deeper layers of tissue are unaffected. By contrast:#N#“ Intermediate repair … require [s] one layered closure of one or more of the deeper layers of subcutaneous tissue and superficial (non-muscle) fascia in addition to the skin (epidermal and dermal) closure.”#N#In other words, wounds requiring intermediate repairs are deeper than those requiring simple repair. Per CPT®, some single-layer closures may qualify as complex repairs, if the wound is “heavily contaminated” and requires “extensive cleaning or removal of particulate matter.”#N#When searching documentation for clues as to the complexity of repair, statements such as “layered closure,” “involving subcutaneous tissue,” and/or “removal of debris,” “extensive cleansing,” etc., point to an intermediate repair. Lack of these details, or a statement of “single layer closure,” suggests a simple repair.#N#Complex repairs involve wounds that are deeper and more dramatic, which may require debridement or significant revision:#N#“ Complex repair … require [s] more than layered closure, viz., scar revision, debridement (eg, traumatic lacerations or avulsions), extensive undermining, stents, or retention sutures. Necessary preparation includes creation of a limited defect for repairs or the debridement of complicated lacerations or avulsions.”#N#An operative note detailing such an extensive, reconstructive repair should be easily distinguished from other repair types, due to the need for procedures well beyond cleansing and suturing at one or more levels.
In other words, wounds requiring intermediate repairs are deeper than those requiring simple repair. Per CPT®, some single-layer closures may qualify as complex repairs, if the wound is “heavily contaminated” and requires “extensive cleaning or removal of particulate matter.”.
Some of these related procedures may not be separately reported; others may be separately reported, or separately reported only in specific circumstances. Here’s a quick rundown, based on CPT ® and the Medicare guidelines.
Wound repair does not include excision of benign (11400-11446) or malignant (11600-11646) lesions, but lesion excision may include would repair. Per CPT ®, simple repairs are always included in lesion excision, but “Repair by intermediate or complex closure should be reported separately.”.