Ophthalmology and Optometry Coding Alert

Reader Question:

Suture Removal

Question: Another ophthalmologist performed a repair, and the patient came to us to have the suture removed. Should I code for the work?

New Jersey Subscriber
 
 Answer: There is no code for suture removal, which is included in the global surgical package for all procedures. Suture removal is included in the office visit service rendered that day. To bill the office visit, use the diagnosis for the visit the reason the patient came in. The diagnosis for this E/M visit should incorporate the patients chief complaint, which is most likely pain on or in the eye (379.91) or an irritated, red eye (379.93). You could also use V45.69 (other states following surgery of eye and adnexa).

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