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 you could be overcharging your service.
To tell whether you need to code more or less for laceration follow-up care, answer these questions.
1: Did You or a Co-Pediatrician Do the Repair
Yes: If your pediatrician or a pediatrician within your group places the sutures, you cannot bill for their removal, confirms Tracy Russell, CBCS, /FONT>at Carroll Children's Center in Westminster, Md. The laceration repair code includes uncomplicated, related postoperative follow-up visits and suture removal.
No: If another physician places the sutures and your pediatrician removes them, you can bill for the wound check and removal.
2: Are You Providing a 2-Day Post-ER Check?
This ER-physician ordered two-day wound check involves checking for infection and for proper wound healing, and usually requires an expanded problem focused history and examination. ''I code an E/M -- usually 99213 because I not only look at the laceration site, but I also need to assess the area's functionality,'' Scott relays. This involves such concerns as:
Be careful: Don't rule out a problem focused visit.
Although cases requiring looking only at the wound are rare, if that's all Scott does, he uses 99212 ((Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: a problem focused history; a problem focused examination; straightforward medical decision making)).
For the diagnosis code, use the open wound laceration by site code. Make sure to choose the appropriate digits to represent the location and status, such as:
3: Did You Assess Wound and Remove Sutures?
You might not be giving yourself due credit if you overlook the work you may provide in an encounter before performing the suture removal. Remedy: Look at the situation as two evaluation components:
1) wound assessment --" Scott says this component involves the physician assessing:
2) (after that assessment) the actual sutures removal.
Adding the two components together, however, is usually a 99213 ( (an expanded problem focused history;(an expanded problem focused examination; medical decision making of low complexity)...).The complaint isn't a problem-focused issue (99212); rather the encounter involves two expanded components (thus 99213), Scott explains.
4: Does the Insurer Accept S0630?
The CPT manual does not offer a specific suture removal code. The HCPCS Level II manual does offer a less commonly accepted option. I generally use S0630 ((Removal of sutures; by a physician other than the physician who originally closed the wound)) when we have already seen the patient for the injury,Russell reports.
Code S0630 accounts for the suture removal only, not a wound check. If we are treating the patient's wound for the first time and taking out sutures, we will charge an E/M code with modifier 25 (Significant, separately identifiable evaluation and management service by the same physician on the day of the procedure or other service) along with S0630,recalls Russell.
You might,however,find you're better off sticking with a combined higher-level E/M code. ''Most payers include the suture removal in with the E/M code now,'' Russell notes.
Even if you're coding only for the suture removal, you still might want to omit the HCPCS S-code option. Russell finds that most payers do not pay.
5: Did You Use 2 Diagnoses?
You can support encounters in which the pediatrician assesses the wound and removes the sutures with a diagnosis that represents both components. Here's how:
Report 870-897 based on the wound's site. For instance, you would code an uncomplicated open wound on the eyebrow with 873.42 (...(forehead) which includes Eyebrow.
