tci ED Coding & Reimbursement Alert - 2011 Issue 6

You Be the Coder: Mind Ligation Bundles On Repair Claims

Question: A patient presents to the ED with a persistent dialysis fistula bleed. Physician notes indicate a level-two ED E/M service in addition to these procedures: "L antecubital fossa prepped w/chloroprep. "Anesth. w/ lido. 2-3.0 prolene sutures placed at bleeding site."Good hemostasis achieved." What is the proper coding for this scenario?Montana SubscriberAnswer: You should limit your reporting to an ED E/M code and a simple laceration repair code. On the claim, report the following:12001 (Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities [including hands and feet]; 2.5 cm...

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