tci ED Coding & Reimbursement Alert - 2009 Issue 8

READER QUESTIONS :Check Materials on Closure Encounters

Question: A patient reports to the ED after stepping on a rusty nail at a picnic. After examining the patient and making sure the wound was free of debris, the ED physician performs a tetanus injection and repairs the 0.8 cm hole in his right foot with sutures. Can I report a laceration repair code in this scenario? Indiana Subscriber Answer: Since the ED physician used sutures, you can submit a laceration repair code. However, tetanus shots are not reportable in the ED, so roll the injection work into the overall E/M level. On the claim, report the...

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