tci ED Coding & Reimbursement Alert - 2016 Issue 9

Common ED Services Found In TABLE 7 from the 2017 Proposed Rule: 0-day Global Services Typically Billed with an E/M Service with Modifier 25

Repair Codes 12001 (Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities [including hands and feet]; 2.5 centimeters or less)12002 (Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities [including hands and feet]; 2.6 to 7.5 centimeters or less)12004 (Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities [including hands and feet]; 7.6 to 12.5 centimeters)12011 (Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less)12013 (Simple repair of superficial...

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