tci ED Coding & Reimbursement Alert - 2010 Issue 4

Reader Questions: Consider Bundles Before Upping Repair Level

Question: A patient reports to the ED bleeding moderately from the scalp. The patient is using a towel to apply pressure to the wound, which he suffered after a noncollision crash on his dirt bike. The nonphysician practitioner (NPP) examines the patient, ligates a small number of blood vessels, and notices a small amount of dirt in the wound, which she irrigates using saline solution. The physician orders local anesthesia and closes a 3.4 cm scalp wound using surgical staples. The physician then instructs the patient to follow up with his primary care physician (PCP) for further treatment...

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