tci ED Coding & Reimbursement Alert - 2008 Issue 8

Reader Questions: Leave D Codes Off Mouth Suture Claim

Question: A patient reports to the ED with bleeding following a tooth extraction. After a level-two E/M, the physician uses two sutures to close the wound (the repair is approximately 0.9 cm total). How should I code the suturing service? Should I use a dental code? Michigan SubscriberAnswer: For this procedure, there is a HCPCS "D" code, D7910 (Suture of recent small wounds up to 5 cm). But these codes are designed for dental professionals, not ED physicians. You are better off using a laceration repair code for this scenario. On the claim, report the following: - 12011...

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