tci ED Coding & Reimbursement Alert - 2008 Issue 4

Reader Questions: Opt for E/M When Physician Bandages Laceration

Question: A mother brings her 10-year-old daughter to the ED. The child fell from her bike and had a laceration on her left knee. The physician examines the patient, cleans the wound and closes it using butterfly bandages. Can we report a laceration repair code for this encounter? Montana Subscriber Answer: If the wound does not require stitches, staples or tissue adhesive (such as Dermabond), you should not report a laceration repair code. CPT requires you to use one of these closure methods in order to report 12001-12007 (Simple repair of superficial wounds of scalp, neck, axillae, external genitalia...

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