tci ED Coding & Reimbursement Alert - 2018 Issue 8

Reader Question: Vermillion Repair? Look to 40650

Question: We recently repaired a laceration on the vermillion border of a patient’s lip. The ED physician documented a “through and through laceration.” How do we code the repair? Supercoder.com Subscriber Answer: Most complex repairs of the lips will involve either a full-thickness or “through and through” style laceration. When the physician documents a “through and through” repair, that means the laceration penetrated two surfaces of a given structure. In the case of a patient’s lip, this means that the laceration penetrates the skin all the way through to the oral mucosa...

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