tci ED Coding & Reimbursement Alert - 2010 Issue 8

You Be the Coder: Use Broken Skin As Clue to Proper Wound Dx

Question: A patient reports to the ED after suffering a dog bite on her right forearm; The ED physician performs a level-two E/M service, and then fixes the wound with a 2.8 cm repair using surgical staples. The wound depth extended "to the subcutaneous tissue," according to notes. Is this an open or closed wound, and which CPT code should I choose for this encounter?Michigan SubscriberAnswer: Since the patient's skin was broken, this is an open wound. On the claim, report the following:12002 (Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or...

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