tci ED Coding & Reimbursement Alert - 2007 Issue 4

You Be The Coder: Is E/M and Repair Possible on Laceration Claim?

Question: A construction worker who was using a table saw reports to the ED with lacerated index and middle fingers on the palmar surface, but there is no significant bleeding and he is otherwise healthy. On the pad of the distal phalanx of both involved fingers is a 1.5-cm laceration that is jagged with protruding fat. Our physician applies digital blocks to both fingers with Marcaine, explores the wounds for foreign bodies (none found) and closes the wounds. How should I code this encounter?Indiana SubscriberAnswer: To code this claim correctly, you-ll need help from a pair of...

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