tci ED Coding & Reimbursement Alert - 2005 Issue 2

You Be the Coder: Complex Lacerations in the ED

Question: I've heard that physicians rarely perform complex laceration repair in the ED. Is this true? Also, is it appropriate to report a complex repair solely because the physician states "complex" in the patient's documentation?    Massachusetts SubscriberAnswer: Complex laceration repairs may not be performed every day in the ED, but that doesn't mean they're not a common coding issue. Confusion between complex and other repairs regularly causes reporting problems on ED claims. Several factors may influence the percentage of these repairs, such as the location and acuity level of the ED, the availability of...

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