tci ED Coding & Reimbursement Alert - 2004 Issue 1

Don't Let Starless Codes Deter Separately Reporting an E/M

Eliminated starred procedure concept docks payment The whole will no longer equal the sum of its parts Jan. 1, when new CPT changes take the starred procedure concept off the menu.  In the past, a star symbol next to a procedure code - such as 12031* (Layer closure of wounds of scalp, axillae, trunk and/or extremities [excluding hands and feet]; 2.5 cm or less) - designated that the procedure did not include related services such as evaluation and management, follow-up care, certain anesthesia, or suture removal; you coded the other services separately, and got reimbursed separately.  ...

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