tci ED Coding & Reimbursement Alert - 2008 Issue 4

You Be the Coder: Multiple Laceration Repairs

Question: I am having some trouble coding this laceration repair scenario: A patient reports to the ED with a facial laceration just below the vermillion border of her lower lip; she also has a laceration of the mucosal surface of the lip. Notes indicate both injuries are superficial and require minimal cleaning. After a level-two E/M, the ED physician stitches both wounds closed. The lip laceration repair totaled 2.5 cm, and the surface cut repair was 2.0 cm. Should I report both repairs with a single code, or report two repair codes? Minnesota Subscriber Answer: Judging from...

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