tci ED Coding & Reimbursement Alert - 2007 Issue 4

Reader Question: Repair Bundled into Wound Exploration

Question: A patient with a penetrating wound on his upper thigh came into the ED. He was injured by a bullet fragment at the shooting range. After performing a level-four evaluation and management service to check for trauma to other systems, the physician performed a significant exploration of the wound to check for further damage to the wounded extremity. She then irrigated the wound and packed it open. Can we report the exploration and the wound closure separately?Illinois SubscriberAnswer: No, you cannot. You-ll report two codes for this encounter; one for the E/M service and another for the...

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