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September 2019 Coding Updates

Posted Dec 12, 2019

Intermediate and Complex Repairs

The descriptions for intermediate and complex repairs have been clarified
including adding the description for limited and extensive undermining.

Intermediate Repair- Intermediate repair includes the repair of wounds that,
in addition to the above, require layered closure of one or more of the deeper
layers of subcutaneous tissue and superficial (non-muscle) fascia, in addition
to the skin (epidermal and dermal) closure. It includes limited undermining
(defined as a distance less than the maximum width of the defect, measured
perpendicular to the closure line, along at least one entire edge of the defect)
Single-layer closure of heavily contaminated wounds that have required
extensive cleaning or removal of particulate matter also constitutes
intermediate repair.

Complex repair- Complex repair includes the repair of wounds that in
addition to the requirements for intermediate repair, require at least one of the
following; exposure of bone, cartilage, tendon, or named neurovascular
structure; debridement of wound edges (e.g. traumatic lacerations or
avulsions); extensive undermining (defined as the distance greater than or
equal to the maximum width of the defect, measured perpendicular to the
closure line along at least one entire edge of the defect); involvement of free
margins of helical rim, vermillion border, or nostril rim; placement of
retention sutures. Necessary preparation includes creation of a limited
defect for repairs or the debridement of complicated lacerations or avulsions

Scar revision has been removed from the description of complex repair.
Per the AMA, Scar revision in which skin is excised and closure is
performed should be coded as excision of benign lesion. This code will be
considered included in most other surgical procedures.

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3D Printing in Orthopedics: What You Should Know

Posted Aug 27, 2019


Technology and medicine are often in conjunction with one another - it isn’t uncommon for the medical sphere to take advantage of technological developments to advance care in medical fields of all kinds. It may sometimes take time for certain types of technology to be used for medical purposes, but once it all gets started, the benefits and impact can be very significant. 3D printing is a technology advancing the medical field. Since being integrated into medicine, orthopedic surgeons have been able to use it for new and revolutionary ways to truly make a difference in patient’s lives. Below, we’ll walk you through the basics of how 3D printing is used in orthopedics and the benefits that it can have for both physicians and patients.

How is 3D Printing Used in Orthopedics?

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