tci ED Coding & Reimbursement Alert - 2014 Issue 3

Reader Question: Closure Encounters Of The Foot Kind

Question: A patient reports to the ED after stepping on a rusty nail at a picnic. After examining the patient and making sure the wound was free of debris, the ED physician orders a tetanus injection and repairs the 0.8 cm “hole” in his right foot with sutures. Notes indicate a level-three E/M service. Can I also report a laceration repair code in this scenario? Indiana Subscriber Answer: Since the ED physician used sutures for the repair, you can submit a laceration repair code. The tetanus injection is not reportable on the professional side in the facility...

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