Wiki Labial laceration revision

[cgarciamck87@gmail.com]

Needing help determining which would be the appropriate code for this.
Patient had a vaginal delivery 2 months ago during which she sustained a right labial laceration that was repaired at that time.
During her post partum visit a month later, she reported irritation of this laceration and was advised to come in for a revision at the office since it did not heal completely after delivery.
She then came back a few weeks later for this. This was the physician's documentation: " Lidocaine with epinephrine 1% was injected into the area of separation. Edges were then excised and freshened. The two edges of the separation were then reapproximated using 2-0 vicryl rapide. Patient was advised to follow up in one week."

I think the appropriate code would be 12041. Physician used 59300 though.

 

[nielynco]

Needing help determining which would be the appropriate code for this.
Patient had a vaginal delivery 2 months ago during which she sustained a right labial laceration that was repaired at that time.
During her post partum visit a month later, she reported irritation of this laceration and was advised to come in for a revision at the office since it did not heal completely after delivery.
She then came back a few weeks later for this. This was the physician's documentation: " Lidocaine with epinephrine 1% was injected into the area of separation. Edges were then excised and freshened. The two edges of the separation were then reapproximated using 2-0 vicryl rapide. Patient was advised to follow up in one week."

I think the appropriate code would be 12041. Physician used 59300 though.

You are correct, 59300 would not be reported in this instance as it was an episiotomy had already been performed and is not being repaired. The correct code would be 12020 as this was a simple closure (not intermediate) of the separation.