Forum - Questions & Answers
Complex Closure...New to Speciality
Hello and thank you in advance for your assistance.
What documentation is required to support a complex closure?
The provider is submitted 13160 (secondary closure of surigical wound or dehiscence , extensive/complicated) & documented "complex wound closure, greater then 30 cm, which took greater than 1 hour to do in a gareful layered fashion. This was performed with O-Vicryl #5 Ethibond for through bone repair of the posterior capsule and multiple layers of o-vicryl PDS looped 2-0 Vicryl, and staples for skin. Compartments were soft at the end of the procedure. A sterile dry dressping was applied".
Would that description support the use of CPT® 13160?
I read somewhere that "the physician would have to perform more than layered closure in order to bill for a complex repair".
I believe the above does explain "more than layered closure", but not sure if more specifics are required.
Is 13160 appropriate, after THA, or can you recommend another code?