tci ED Coding & Reimbursement Alert - 2011 Issue 5

Laceration repairs: Know Encounter Specifics to Get Your Cut for Each Laceration Repair Claim

Evidence of debridement often leads to intermediate fix code.The ability to tell the difference between an intermediate laceration repair and a simple one is vital for the coder that wants to recoup all earned reimbursement for these claims. Why? Laceration repairs are common in the ED, comments John Bishop, PA-C, CPC, MS, CWS, president of Tampa, Fla.-based Bishop and Associates. Further, intermediate laceration repair codes pay at a higher rate than simple ones.For example, let's say your ED physician repairs a 5.2-cm scalp laceration. You decide to report 12002 (Simple repair of superficial wound s...

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