tci ED Coding & Reimbursement Alert - 2004 Issue 5

Patch Up Holes in Your Laceration Coding

These 3 rules can save you $50 per cut Reimbursement for laceration repairs could be slipping away if you're resorting to simple repair codes (12001-12021) when you could -- more accurately -- report intermediate repairs (12301-12057). Keep these three expert recommendations in mind when identifying whether you've earned intermediate repair pay. 1. Uncover Layer Descriptions You need solid physician documentation to choose between simple (12001-12021) and intermediate (12031-12057) repair codes -- so encourage the emergency department (ED) physicians to use specific language to describe their services. You'll have an easier time selecting the appropriate code this way, says Catherine...

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