tci ED Coding & Reimbursement Alert - 2007 Issue 4

Report Intermediate, Complex Closures Separately on Excision Claims

When closure gets more complicated, 2-code claim possible If your ED physician performs a lesion removal, he-ll also have to close the excision site before sending the patient home. If this closure represents a simple repair, the work involved is bundled into the lesion excision code you report on the claim.However, if the repair of the excision site gets more complicated, you-ll be able to report the closure separate from the excision, says Pat Strubberg, CPC, of Patients First Health Care in Washington, Mo.When the ED physician performs an intermediate closure, you-ll choose a code from the...

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