tci ED Coding & Reimbursement Alert - 2013 Issue 5

Reader Question: Make An Informed Decision Before Changing Providers

Question: My ED is exploring the idea of having a tech do infiltration, prep, and cleaning of the wound, and then after exploration by the doc, suture wounds. Could we report those tech services on the professional side? Kentucky Subscriber Answer: You are smart to investigate the reimbursement realities of that decision. The 12xxx and 13xxx CPT® codes do not make an allowance for the physician to bill procedures performed by “suture techs.” ...

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