tci ED Coding & Reimbursement Alert - 2000 Issue 1

Correct Coding for Suture Placement and Removal in the ED Optimizes Reimbursement

When sutures are placed by the emergency department (ED) physician and removed by the patients primary care physician (PCP), coding becomes more complex. Using the proper modifier and billing code will ensure appropriate payment to both physician groups.Dari L. Bonner, CPC, CPC-H, CCS-P, an independent corporate compliance, coding and reimbursement specialist in Port St. Lucie, Fla., offers perspective on appropriate coding for these situations.Most Laceration Repair Codes Have Global Periods As noted in the answer to the reader question Suture Removal in the November ED Coding Alert (page 86-87), many laceration repair codes are starred (*), which...

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