Coding Wound Care in ICD and CPT

Wound care coding in CPT and ICD

Wound in ICD refers to open wound even if the documentation does not mention the word "open wound." CPT has the following code sets for repair or suturing of open wounds. These codes include Adhesives (surgical) (tissue). Application of adhesive strips (butterfly) is included in E/M and ICD will guide you to omit code.

Repair-Simple 12001-12021
Simple repair includes single layer closure.
Repair-Intermediate 12031-12057 (Multilayer closure or simple repair with extensive cleaning or debridement)
Repair-Complex 13100-13160

CPT also has codes for closure of wound dehisence
12020 Simple closure of superficial wound dehiscence
12021 Simple closure of superficial wound dehiscence with packing
13160 Secondary closure of surgical wound or dehiscence, extensive or complicated

Simple debridement is included in repair codes, but if extensive debridement or prolonged cleanseing is carried out with intermediate or complex repair then it sholuld be reported seperately. Full thickness repair of lip and eyelid are not included in these series.

ICD 9 repair codes
08.81 Eyelid/Eyebrown
08.83 Eyelid Laceration partial Thickness
18.4 External Ear
21.81 Nose
24.32 Gum
27.51 Lip
27.52 Mouth
86.59 Skin any other sites

Tags: Coding Wound Care in ICD and CPT, Coding Wound repair, Meical Coding Wound Care


dharmesh said...

I found your post really interesting and it has really improved my knowledge on the matter.

Anonymous said...

Would you elaborate more on simple repair, especially on "... This includes local anesthesia and chemicl or electrocauterization of wound not closed."

healthcare said...

Simple repair codes does include local anesthesia and can also be used for chemical or electrocauterization of wound not closed.. according to CPT definition of "Simple repair"

Anonymous said...

Could you give an example of what kind of chemicals do qualify for it?

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