tci ED Coding & Reimbursement Alert - 2000 Issue 12

You Be the Coder: Lacerations in the ED

Question: Is it correct to code an evaluation and management (E/M) code for all lacerations seen in the emergency department?Massachusetts SubscriberTest your coding knowledge. Determine how you would code this situation before looking at the box below for the answer.Answer: All lacerations billed to Medicare should include an evaluation and management (E/M) service. Other carriers wont accept an E/M code with a laceration. When submitting an E/M service with a laceration, the documentation must support a significant, separately identifiable service. This may be the case, for instance, when a patient falls and suffers a head laceration, and...

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