Questions and Answers
What are the three classifications of wound repair?
simple, intermediate, complex
CPT distinguishes between benign and malignant lesions regarding which of the following procedures?
A wound repair CPT code in the surgery section, integumentary system is only to be used when?
The physician uses sutures, staples, or tissue adhesives to close a wound.
When a physician uses adhesive strips (band-aids) to close a wound, what type of code would be assigned?
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What type of wound repair is involved when the wound is superficial, requiring a simple one-layer closure?
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What is considered an intermediate wound repair?
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What does complex repair include?
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The three factors that a coder needs to take into account when coding for wound repair are?
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The CPT states that wound repairs should be reported in?
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When multiple wounds are repaired from the same classification (simple, intermediate, complex) and the anatomic site is grouped together in the CPT, then you can bill the two repairs as one by adding up the cm of the repair.
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What modifier do you add to the second code when the wound repair is not of the same classification?
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The CPT always directs you to list the most complicated procedure first and then the biggest repair would go next.
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When lesions are excised from multiple sites of the integumentary system, what is the correct action the coder should take?
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Moh's micro-graphic surgery involves the surgeon acting as both?
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A physician excises a 3.1 cm malignant lesion of the scalp requiring a full thickness graft from the thigh to the scalp. Which of the following procedures should be reported?
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Which of the following types of skin grafts includes the epidermis and some dermal layers of tissue?
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The initial consultation completed by the surgeon to determine if the surgery is necessary is included in the payment amount for the global surgery.
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Diagnostic tests and procedures, including diagnostic radiological procedures, are not included in the payment amount for a global surgery.
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Study Notes
Wound Repair Classifications
- Three classifications for wound repair: simple, intermediate, and complex.
- Simple repair involves superficial wounds affecting the epidermis or subcutaneous tissue.
- Intermediate repair includes closure of deeper layers along with skin.
- Complex repair requires more extensive surgical techniques, such as scar revision or extensive undermining.
Excision Procedures
- Excision procedures differ in CPT coding for benign versus malignant lesions.
- Important procedures include repair, excision, and incision and drainage.
Wound Closure Techniques
- Sutures, staples, or tissue adhesives are commonly used for wound closure.
- Adhesive strips (like band-aids) require specific E/M coding rather than surgical codes.
Factors for Wound Repair Coding
- Coders must consider anatomic site, length of wound, and type of repair when coding.
- Wound repairs are measured in centimeters according to CPT guidelines.
Billing for Multiple Wound Repairs
- For multiple wounds of the same classification treated together, add the cm of the repairs for billing.
- If repairs are of different classifications, the second code must include modifier -59.
Coding for Excised Lesions
- Each lesion excised from multiple sites should be coded separately rather than combined.
- The coding of lesions depends on specific documentation of dimensions.
Moh's Micrographic Surgery
- Involves the surgeon serving dual roles as a surgeon and pathologist for effective excision and assessment.
Skin Graft Types
- Full-thickness grafts involve taking a complete dermal covering, while split-thickness grafts capture the epidermis and part of the dermal layer.
- Appropriate selection of graft type is essential depending on the recipient site.
Global Surgery Payment Considerations
- Initial consultations to determine surgery necessity are included in the global surgery payment.
- Diagnostic tests and procedures, such as imaging, are not factored into global surgery payments.
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Description
This quiz covers the classifications of wound repair, including simple, intermediate, and complex procedures. It also discusses excision procedures and the various techniques and factors influencing wound repair coding. Test your knowledge on the essential coding practices for effective wound management.
