Question: Montana Subscriber Answer: Medicare: • G0168 (Wound closure utilizing tissue adhesive[s] only) for the closure • 99282 (Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: an expanded problem focused history; an expanded problem focused examination; and medical decision making of low complexity ...) for the E/M • modifier 25 (Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service) appended to 99282 to show that the E/M and closure were separate services • 883.0 (Open wound of finger[s]; without mention of complication) appended to G0168 and the E/M code to represent the patient's injury • E920.1 (Accidents caused by cutting and piercing instruments or objects; other powered hand tools) appended to G0168 and 99282 to represent the cause of the patient's injury. Private payers: • 12002 (Simple repair of superficial wounds of scalp, neck, axillae, external genitalia, trunk and/or extremities [including hands and feet]; 2.6 cm to 7.5 cm) for the repair • 99282-25 to show that the E/M and closure were separate services • 883.0 and E920.1 appended to 12002 and 99282 code to represent the patient's injury and the cause of the patient's injury, respectively.