tci ED Coding & Reimbursement Alert - 2007 Issue 6

You Be the Coder: Coding Multiple-Laceration Scenarios

Question: A patient reports to the ED with facial cuts. The physician performs a simple 2.5-cm repair to a laceration of the eyebrow, and then fixes a 3.2-cm laceration on the patient's forehead (also simple repair). On this claim, should I report separate codes for each repair?Minnesota SubscriberAnswer: No, you should report a single code for both of these fixes. When the physician fixes wounds of the same complexity in the same anatomical area, you should add the lengths together and then choose a CPT code accordingly. Sum length: The physician made simple repairs of 2...

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