Complex Closure


One of my doctors wants to bill complex closure codes along with his breast procedure codes (i.e. breast reduction & breast reconstruction). He wants to use them for the closure stating that he is doing a complex layer closure when he closes the patient. He got the idea because he has a “friend who does this and gets paid”. Are we missing out on money because we don’t bill for the complex closure?

No, you are not missing out. In fact, your doctor’s friend is not coding correctly. The primary closure (i.e. simple, intermediate, complex) is included in the breast reduction and breast reconstruction procedures and not separately reported.