0CQ1XZZ is a valid billable ICD-10 procedure code for Repair Lower Lip, External Approach. It is found in the 2021 version of the ICD-10 Procedure Coding System (PCS) and can be used in all HIPAA-covered transactions from Oct 01, 2020 - Sep 30, 2021.
Diagnosis: Patient has a lower lip 4 cm transverse laceration, 3 cm of which is through and through. There is a 1 cm inferior extension to the outside of the lip.
“Depending on the nature of the repair, a through and through lip repair could be coded with a repair code from 40650-40654, or with an intermediate or complex repair code, or even possibly an adjacent tissue transfer or rearrangement code,” Connell explains.
The CPT Manual classifies laceration repair codes according to three types of repair: simple, intermediate, and complex:
Laceration without foreign body of lip, initial encounter S01. 511A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM S01. 511A became effective on October 1, 2021.
2022 ICD-10-PCS Procedure Code 0CB1XZX: Excision of Lower Lip, External Approach, Diagnostic.
ICD-10-CM Diagnosis Code R22 R22.
S01.81XAICD-10-CM Code for Laceration without foreign body of other part of head, initial encounter S01. 81XA.
11642. EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; EXCISED DIAMETER 1.1 TO 2.0 CM.
CPT® Code 11622 in section: Excision, malignant lesion including margins, scalp, neck, hands, feet, genitalia.
Unspecified lesions of oral mucosa K13. 70 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM K13. 70 became effective on October 1, 2021.
70.
ICD-10-CM Code for Disorder of the skin and subcutaneous tissue, unspecified L98. 9.
S01.419ALaceration without foreign body of unspecified cheek and temporomandibular area, initial encounter. S01. 419A is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM S01.
The code sets for laceration repair are: 12001-12007 for simple repair to scalp, neck, axillae, external genitalia, trunk, and/or extremities (including hands and feet) G0168 for wound closure using tissue adhesive only when the claim is being billed to Medicare.
A facial laceration is a cut or tear in the soft tissue of your face or neck. Injuries to the face, head and neck, including lacerations, abrasions, hematomas and facial fractures, account for a large number of emergency room visits. Many of these injuries may be repaired by emergency room physicians.
Cutting through the skin or mucous membrane and any other body layers necessary to expose the site of the procedure
Entry, by puncture or minor incision, of instrumentation through the skin or mucous membrane and any other body layers necessary to reach the site of the procedure
Procedures performed directly on the skin or mucous membrane and procedures performed indirectly by the application of external force through the skin or mucous membrane
Complex repair is billed when the physician performs more than layered closure. Additionally, if a benign lesion was removed before the wound repair procedure, a minimum of two surgical codes can be billed: one for the removal and one for the repair.
You can code for all of them. When the patient has multiple lacerations of the same repair complexity on the same body part, coding is easy: You simply add the lengths of each wound together and choose the matching code.
If a provider has placed sutures for a patient and the patient returns to the same provider for the suture removal, then the visit for the suture removal cannot be charged, because the removal is included in the initial laceration repair code.
A layered closure constitutes an intermediate repair and the intermediate repair code should be billed even if the physician does not specifically use the word “intermediate” in the documentation.
The American Medical Association provides the following guidance on suture removal: Removal of sutures by the physician who originally placed them is not separately reportable since the removal is included in the initial laceration repair code.