Complex Closure of Full Thickness Graft Site

Complex Closure of Full Thickness Graft Site

September 16, 2021

Question:
We billed 15260 (full thickness graft, ear) and 13132 (complex repair, ear) and were not paid for the complex repair. Can you help us with an appeal?

Answer:
Suturing the full thickness graft into place is not separately coded with a complex repair or any other code. Affixing the full thickness graft to secure it to the recipient site is included in 15260. So, no appeal and don’t code the graft placement closure in the future.

*This response is based on the best information available as of 09/16/21.

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