This was coded as a 99203-25, 12001(59) and 12002 (59) Medicare is denying the 12001, but paying on 12002. Do we add all lengths and code one laceration suture repair???????
LACERATION REPAIR:
HISTORY: pt fell holding a vase and glass broke in hand, ETOH on board
TETANUS:__ If greater than 5 years is Td given
t to go to health department tomorrow to obtain vaccination
SIZE: laceration 1-thumb laceration 3.5cm, laceration 2-4th finger laceration 1.5cm
LOCATION:laceration 1- lateral palmar left hand at base of 1st metacarpal, laceration 2-palmar surface of 4th finger overlying distal phalange
CLEANSING AGENT/SCRUB: X HIBICLENS :___ SURECLENS: Sterile Saline Irrigation:X
TENDON/NERVE INVOLVEMENT:NO
LOCAL ANESTHETIC:2% XYLOCAINE WITHOUT EPI: 5 cc WITH EPI: ___
SUTURE:4.0 PROLENE
PROCEDURE:After wound prep and cleansing under sterile conditions the wound was closed with appropriate suture above in a continuous:___ interrupted:laceration 1- 9 interrupted sutures, laceration 2- 3 interrupted sutures There were not any complications and anatomic restoration was accomplished.
LACERATION REPAIR:
HISTORY: pt fell holding a vase and glass broke in hand, ETOH on board
TETANUS:__ If greater than 5 years is Td given
t to go to health department tomorrow to obtain vaccinationSIZE: laceration 1-thumb laceration 3.5cm, laceration 2-4th finger laceration 1.5cm
LOCATION:laceration 1- lateral palmar left hand at base of 1st metacarpal, laceration 2-palmar surface of 4th finger overlying distal phalange
CLEANSING AGENT/SCRUB: X HIBICLENS :___ SURECLENS: Sterile Saline Irrigation:X
TENDON/NERVE INVOLVEMENT:NO
LOCAL ANESTHETIC:2% XYLOCAINE WITHOUT EPI: 5 cc WITH EPI: ___
SUTURE:4.0 PROLENE
PROCEDURE:After wound prep and cleansing under sterile conditions the wound was closed with appropriate suture above in a continuous:___ interrupted:laceration 1- 9 interrupted sutures, laceration 2- 3 interrupted sutures There were not any complications and anatomic restoration was accomplished.
