tci Medicare Compliance & Reimbursement - 2009 Issue 8

CODING COACH: 5 Answers Capture Suture Removal & Related Work

Tip: Your E/M usually requires 2 components -- which means more than problem-focused. If you pigeonhole encounters involving suture removal as 99212s, you could be cutting yourself short -- or overcharging your service. To tell whether you need to code more or less for laceration follow-up care, answer these five questions.1: Did You or a Co-Physician Do the Repair? Yes: If your physician or a doctor within your group places the sutures, you cannot bill for their removal,confirms Tracy Russell, CBCS at Carroll Children's Center in Westminster, Md. The laceration repair code includes uncomplicated, related postoperative follow-up...

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