Open fx debridement and complex closure

CPT book says the complex repair codes 13100-13160- doesn't include debridement of open fractures. However, CCI bundles the debridement 11012 to the complex repair code. Is this one of those situations where CCI and CPT differ and we should bill both and let the payer decide if they will allow or not?


  • Zero comments. This forum is not what it used to be. I reached out to AAPC for help on this topic and got bad advice and the wrong answer :( Turns out this scenario is very billable after to much research. Good luck to all who read this if there is any one.
  • I agree with you - the old forum was a "go-to" site of mine.  No longer...very bad decision that was made to change the format...
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