tci ED Coding & Reimbursement Alert - 2004 Issue 9

READER QUESTIONS: No Stars, No Suture Removals

Question: When should I bill for suture removal? When shouldn't I?Idaho Subscriber Answer: With the deletion of the starred procedure concept (*), a change that took effect in January 2004, suture removals are now considered part of typical post-operative care. As such, they're bundled into the original procedure, such as 12002 (Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities [including hands and feet]; 2.6 cm to 7.5 cm) or 12051 (Layer closure of wounds of face, ears, eyelids, nose, lips, and/or mucous membranes; 2.5 cm or less). If an...

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