tci ED Coding & Reimbursement Alert - 2008 Issue 8

Reader Questions: Payer Policy Drives Dermabond Coding

Question: A patient with a cut on her left forearm reports to the ED. Using Dermabond, the ED physician closes the 6.3-cm laceration. Can I code this with the laceration repair codes? Nebraska SubscriberAnswer: If the payer does not follow Medicare coding conventions, you-ll most likely report a laceration repair code. In this case, 12002 (Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities [including hands and feet]; 2.6 cm to 7.5 cm) would be appropriate. However, you should report G0168 (Wound closure utilizing tissue adhesive[s] only) for the service for...

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