tci ED Coding & Reimbursement Alert - 2023 Issue Q4

You Be the Coder: Multiple Lacerations With ED E/M

Question: A patient reports to the ED with three lacerations on their right arm. Two of the lacerations required simple repair: one measured 3.3 cm, the other was 1.9 cm. One of the lacerations required intermediate repair, and measured 2.7 cm. The ED physician decided to perform the laceration repairs after an ED evaluation and management (E/M) service that involved moderate-complexity medical decision making (MDM). What CPT® codes should I report for this encounter? North Dakota Subscriber Answer: For this claim, report: 12031 (Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and...

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