Intermediate and complex repair
Use the Academy’s intermediate and complex repair (ICR) tool to find the proper code and ease reimbursement. Coding guidance for two integumentary system repair procedures provides a clear distinction between intermediate and complex repair classifications. The guidelines require dermatologists to capture relevant distinctions within their documentation when performing intermediate and complex repairs. Use the tool and access our convenient reference resource to familiarize yourself with these guideline requirements.
Correct reporting of wound repair services dictates following the revised AMA Current Procedural Terminology (CPT®) coding instructions. Note: Simple repairs are reported for wounds involving primarily epidermis or dermis, or subcutaneous tissues without significant involvement of deeper structures (superficial wounds). The repair requires a simple one-layer closure utilizing sutures, staples, or tissue adhesives either in combination or in combination with adhesive strips. Chemical cauterization, electrocauterization or wound closure solely with adhesive strips are not reported as a simple repair. Likewise, secondary intention healing alone following any procedure, including Mohs surgery, does not qualify as a simple repair.
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You can test your knowledge of surgical and procedural coding by taking short Academy quizzes, or see coding quizzes on other subjects.
