CPT^® 13153, Under Repair-Complex Procedures on the Integumentary System

The Current Procedural Terminology (CPT^®) code 13153 as maintained by American Medical Association, is a medical procedural code under the range - Repair-Complex Procedures on the Integumentary System.

Additional/Related Information

Tabs

Summary

The provider performs closure of a wound/laceration for at least one of the following anatomic areas: eyelids, nose, ears, lips. The repair performed is of a complex nature, which involves more than a layered type closure. This code represents repair of an additional 5 cm or less after a separately reportable 7.5 cm repair.

For clinical responsibility, terminology, tips and additional info
start codify free trial.

View any code changes for 2024 as well as historical information on code creation and revision.

Crosswalks

Tabs

Combat the #1 denial reason - mismatched CPT-ICD-9 codes - with top Medicare carrier and private payer accepted diagnoses for the chosen CPT® code.

View the CPT® code's corresponding procedural code and DRG. In a click, check the DRG's IPPS allowable, length of stay, and more. To plug inpatient facility revenue drains, subscribe to DRG Coder today.

Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Subscribe to Anesthesia Coder today.

View matching HCPCS Level II codes and their definitions.

Forum

Have a question about CPT Code 13153 ? Start a discussion here

Multiple Procedures...

One of my providers was initially performing a malignant excision of an SCC on the patient's shoulder. This SCC also happened to be located on top of a large mass (slightly larger than a softball), wh... [ Read More ]

Pocket Revision for Pacemaker Cpt Code

I use the simple repair codes (closure) 12001-13153. commonly 12001.... [ Read More ]

Laceration Repairs

Hello, I am reviewing a laceration repair. Please let me get your thoughts on the below procedure. 13152,13153,12011-51? ... [ Read More ]

Excision and Full Thickness graft

Yes, you can report both codes separately. While the excision of a skin lesion is included in an adjacent tissue transfer at the same anatomic site, the lesion excision is not included in a full thick... [ Read More ]

Billing Wound Repair (12032) for perm neurostimulators

From the NCCI Manual Chapter CHAPTER III section L.9 [URL unfurl="true"]https://www.cms.gov/Medicare/Coding/NationalCorrectCodInitEd/Downloads/NCCI-Policy-January-1-2019.zip[/URL]: "Closure/repair o... [ Read More ]

Anus lesion excision and intermediate repair

Repairs of all types are bundled. There are only a few exceptions and its related to excisions that are coded to the 1xxxx series. NCCI Manual: [QUOTE]Chapter III.L.9 Closure/repair of a surgical i... [ Read More ]

Correct code for M-Plasty?

M-plasty repairs are controversial as to whether or not they should be coded as adjacent tissue transfer. Because the resultant defect is a straight-line repair, rather than one measurable in square c... [ Read More ]

Measuring and coding malignant and benign lesion

[b]Lesions[/b] Log In / Join Home » Knowledge Center » CMS » Skin Lesion Excisions Knowledge Center Hot Topics Revenue Management Quality Payment Program Telehealth Facility Health Information... [ Read More ]

layered closure in acl reconstruction & total joints

You are correct that closures are included in a surgical procedure. How are they going to work on a bone without cutting through the skin and subcutaneous tissue??? The NCCI edits have guidelines b... [ Read More ]

help with cpt codes 21011 and 13132

The repair is inclusive. Just because modifier 59 can be attached with a code pair it does not mean you can automatically add it, it needs to meet criteria of distinct procedure. You cant just cut som... [ Read More ]

View All