tci ED Coding & Reimbursement Alert - 2008 Issue 11

Reader Questions: Sew Up Laceration Coding Using These 8 Elements

Question: We have gotten several denials in the past few months on our laceration repair claims. Each time, the insurer says that the documentation does not support the laceration repair. How can we improve our documentation of laceration repair encounters? Kentucky SubscriberAnswer: You-ll need to go back and check how your physician documents his laceration repairs, and you will likely need to make a few changes. On laceration repair claims, the procedure note should include these elements: - location  - length - layers - decontamination (including foreign material removed) - tissue management - exploration of wound and contiguous structures...

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