Single Layer Closures: With a single layer closure, please document carefully for the work being done and state the length of the wound in cms. 

Intermediate Upgrade: If the wound is heavily contaminated requiring extensive cleaning or removal of foreign matter it can be coded and billed as an Intermediate Laceration repair instead of a simple repair.  

Complex Laceration: Coding and Billing for a complex laceration requires documentation of layered suturing of torn, crushed or deeply lacerated tissue. Debridement by removing foreign material or damaged tissue must be documented, and may include margin revision. Please remember to include the length of the wound in cms. 

Make sure to document each layer closure and how many layers were closed. All laceration repairs must state the kind of suture material used in the repair.