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Closure

Coding

Is it Always Appropriate to Bill CPT Code 13160 for Delayed Closure Following an Amputation?

by Dr. Michael Warshaw, DPM, CPC

A diabetic patient undergoes a transmetatarsal amputation. Due to the infectious process, the surgeon decides to perform delayed closure at point “X” in the future. When the time arrives to close the surgical site, the appropriate wound closure code is billed appended by the 58 modifier. This confirms a documented “staged, related, pre-planned procedure.”
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