Simple/Moderate Laceration Repairs
Hello,
If a provider documents in the Op Note - Simple Laceration Repair, can you take that to Repair of the Skin.
Also, if the provider documents - Intermediate Laceration Repair, can you take that to Repair of the Subcutaneous Tissue & Fascia?
Or do you need to query to clarify the depth?
Example of the Op Note documentation includes:
Procedure 1
Procedure: Intermediate Laceration of left wrist repair.
Procedure in Detail: Intermediate Laceration of left wrist repair. 4.0 cm in length. Wound was copiously irrigated with betadine, normal saline, andhydrogen peroxide mixture. Wound was then approximated with monocryl sutures. Wound was noted to be hemostatic. This was a(n) Intermediate repair due to layered closure.
Findings: Laceration of left wrist
Procedure 3
Procedure: Simple Laceration of neck repair.
Procedure in Detail: Simple Laceration of neck repair. 8.0 cm in length. Wound was copiously irrigated with betadine, normal saline, and hydrogen peroxide mixture. Wound was then approximated with monocryl sutures. Wound was noted to be hemostatic. This was a(n) Simple repair due to single layer repair (closure).
Findings: Laceration of neck