Complex Closure

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July 24, 2014

Question:

Our surgeon performed a complex repair to close the wound following a mastectomy she performed. We were wondering if this is separately reportable.

Answer:

Thanks for your inquiry. Your question is actually a common one we are asked, so it’s a great time to make it a Coding Coach question. The mastectomy procedure includes a simple, intermediate and complex closure, as do all major procedures. While the surgeon may spend additional time and attention to achieve the most aesthetic closure as possible, this work of the complex repair is inclusive to the mastectomy.