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Posted By Danielle Levy on 02-12-2019, 07:04:12 in Ob-Gyn
I have attached an operative report that I am questioning if you believe I have the correct codes . Please advise
I am going with 13101 for the excision of surgical scar, I am drawn to 49560 for the fascia repair but I am also questioning this because physician did not do a hernia repair . any assistance would be appreciated . Thanks
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  1. OP DMEONI.pdf
Comments (3)
Posted By Melanie Witt on 02-12-2019, 18:39:31
Yes. The repair of fascia which was entered is included in these codes.
Posted By Danielle Levy on 02-12-2019, 14:37:35
Melanie, Thanks
Are you saying the 13101 & 13102 would be the only CPT code billed to support this operative report then ?
Posted By Melanie Witt on 02-12-2019, 14:31:15
In my opinion, 13101 and perhaps the addition of 13102 is more appropriate for this surgery (the incision is documented as 8 cm, and 13101 only goes to 7.5 cm). The CPT description that accompanied the clinical vignette that added the code indicates that the incision is made up to or though the fascia and there would be undermining to make sure the incision could be closed in layers - this was done via removing the tissue bulge in the fascia. I agree that 49560 would not be appropriate in this case.
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