tci ED Coding & Reimbursement Alert - 2008 Issue 7

Use Instrumentation, Depth to Decide Laceration Repair Level

Anatomical classifications get smaller as repairs get more complex On your laceration claims, be sure to prove that the ED physician provided care that qualifies for the laceration repair codes. Medicare also has some different rules for certain repairs using Dermabond -- if you code these encounters as you would for a private payer, you-ll likely end up with a denial.Make Sure Service Qualifies as Repair When the physician treats lacerations, you might be tempted to flip to the laceration repair section of CPT and choose a code. But before you do that, you-ll need to make sure...

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