tci ED Coding & Reimbursement Alert - 2001 Issue 2

Clarification: Lacerations With an E/M Service

The You Be the Coder answer in the December ED Coding Alert, page 93, needs to be clarified. Not every laceration repair performed in the ED and billed to the carrier qualifies to include an evaluation and management (E/M) service. The deciding factor is if there is adequate documentation to support something beyond the performance of the repair itself. CPT notes that with minor starred procedures, the pre- and postcare are not included in the procedure, so an E/M level would seem to be appropriate in these cases. However, if all the provider documents in the chart is the...

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