tci ED Coding & Reimbursement Alert - 2016 Issue 3

Laceration Repairs of the Mouth: Pay More Than Lip Service to Coding Rules For Mouth Lacerations

Depth of the injury and closure method chosen will drive correct code choice Due to geographic and/or economic barriers, some emergency physicians no longer have on-call coverage for some of the medical specialties that they had in the past. Many emergency physicians are performing procedures in the ED that were historically sent to the operating room or performed in the ED by an on-call specialist. As a result, ED coders must become familiar with CPT® codes that weren’t traditionally reported by emergency physicians. One such example is CPT® code 40650 (Repair lip, full thickness; vermilion only). This procedure...

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