Wiki Scar revision

[lharding512]

Have there been changes to scar revision coding? CPT guidelines for 2020 no longer instruct you to use the complex repair codes for scar revision.

 

[such78]

I checked CPT assistant in 3M, still advises code scar revision as complex repair, at least our system is not up to the date.

 

[lharding512]

Thank you.
In a field where we are not supposed to make assumptions. Changes like this, with no explanation forces us to assume things are to be done the same way. UGH

 

[such78]

Thank you.
In a field where we are not supposed to make assumptions. Changes like this, with no explanation forces us to assume things are to be done the same way. UGH

i doubt myself at work daily

 

[lharding512]

i doubt myself at work daily

I understand that. I do too.

 

[hedmiston]

I just said something about this subject the other day. I would go by the new guidelines.

 

[CaroleF01]

Just found this on 3M Encoder, CPT Asst November 2019,

Coding Tip: To report scar revision, see the Skin, Subcutaneous, and Accessory Structures, Excision—Benign Lesion subsection codes (11400-11471).

 

[bnwebb]

The only bad thing about the new guidelines for scar revision is that the excision CPT codes have an LCD, and scar (L90.5) is not on that list.... So, you will not have much luck with reimbursement from insurance. I only use the closure code. Thoughts?