1 Madison, Wisconsin has a humid continental climate with severe winters, no dry season, warm summers and strong seasonality (K ppen-Geiger classification: Dfb). 2  According to the Holdridge life zones system of bioclimatic classification Madison, Wisconsin is situated in or near the cool temperate moist forest biome.
A complex wound repair code includes the repair of a wound requiring more than a layered closure (e.g., scar revision or debridement), extensive undermining, stents, or retention sutures. It may also include debridement and repair of complicated lacerations or avulsions.
Layered Closure. A layered closure is the use of buried absorbable sutures in fascia, subcutaneous tissue, deep dermis, combined with the use of buried absorbable suture in deeper skin and tissue removes the tension from the skin edge and provides stable reduction of closure tension during healing.ayered Closure. A layered closure is the use of buried absorbable sutures in fascia, subcutaneous tissue, deep dermis, combined with the use of buried absorbable suture in deeper skin and tissue removes the tension from the skin edge and provides stable reduction of closure tension during healing.