tci ED Coding & Reimbursement Alert - 2009 Issue 3

You Be the Coder: Coding Multiple Laceration Repairs

Question: A patient who fell off a four-wheeler (all-terrain vehicle) while driving reports to the ED with lacerations to her face, arms, and legs. After a level-four E/M, the ED physician performs layered closure on a 3 cm face laceration. Then, she performs a single layer repair of a 5 cm laceration of the left thigh, a 3 cm laceration of the right forearm, and a 7 cm laceration of the left calf/ankle. She then directs the patient to see her internist for any follow-up care. What is the proper coding for this scenario? Should I submit a procedure...

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