ED Coding and Reimbursement Alert

Repair Codes

12001 (Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities [including hands and feet]; 2.5 centimeters or less)
12002 (Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities [including hands and feet]; 2.6 to 7.5 centimeters or less)
12004 (Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities [including hands and feet]; 7.6 to 12.5 centimeters)
12011 (Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.5 cm or less)
12013 (Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.56 to 5.0 cm)
G0168 (Wound closure utilizing tissue adhesive[s] only)

Injections and Aspirations

20552 (Injection[s]; single or multiple trigger point[s], 1 or 2 muscle[s])
20553 (Injection[s]; single or multiple trigger point[s],  3 or more muscle[s])
20600 (Arthrocentesis, aspiration and/or injection, small joint or bursa [e.g., fingers, toes]; without ultrasound guidance)
20611 (Arthrocentesis, aspiration and/or injection, major joint or bursa [e.g., shoulder, hip, knee, subacromial bursa]; with ultrasound guidance, with permanent recording and reporting)

Splint and Strapping Codes

29105 (Application of long arm splint [shoulder to hand])
29125 (Application of short arm splint [forearm to hand]; static)
29515 (Application of short leg splint [calf to foot])
29540 (Strapping, ankle and/or foot)
29550 (Strapping; toes)

Other Common ED Procedures

30901 (Control nasal hemorrhage, anterior, simple [limited cautery and/or packing] any method)
30903 (Control nasal hemorrhage, anterior, complex [extensive cautery and/or packing] any method)
31500 (Intubation, endotracheal, emergency procedure)
51701 (Insertion of non-indwelling bladder catheter [e.g., straight catheterization for residual urine])
51702 (Insertion of temporary indwelling bladder catheter; simple [e.g., Foley])
51703 (Insertion of temporary indwelling bladder catheter; complicated [e.g., altered anatomy, fractured catheter/balloon])
65205 (Removal of foreign body, external eye; conjunctiva superficial)
65210 (Removal of foreign body, external eye; conjunctival embedded [includes concretions], subconjunctival, or scleral nonperforating)
65222 (Removal of foreign body, external eye, cornea with slit lamp)
69200 (Removal foreign body from external auditory canal; without general anesthesia)
69210 (Removal impacted cerumen requiring instrumentation, unilateral)
92950 (Cardiopulmonary resuscitation [e.g., in cardiac arrest])