tci ED Coding & Reimbursement Alert - 2014 Issue 8

Coding Strategies: Make Sure Your Wound Recheck Policy is All Sewn Up for Accurate Coding

Check the chart and verify the assigned global periods to predict the correct payment You’ve probably noticed lower payments for simple laceration repairs (CPT® codes 12001-12018) since follow-up care in the ED is no longer included as part of these services as of 2011. Being aware of the assigned Medicare global period can help you recoup full deserved payment for these frequently-performed procedures.  Background: Medicare changed the payment policy for simple laceration repairs for 2011 by changing the global surgical package from ten days to zero days. Basically this means that the follow-up visit for a wound...

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