tci Medicare Compliance & Reimbursement - 2008 Issue 19

Coding Coach: Decide Laceration Repair Level With Instrumentation, Depth

Hint: Anatomic classifications get smaller as repairs get more complex On your laceration claims, be sure to prove that the 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: When the physician treats lacerations, you might be tempted to flip to CPT's laceration repair section and choose a code. But before you do that, you'll need to make sure that the service meets...

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