Can someone explain the guidelines for coding a suture removal. The sutures were put in by another provider in the ER that billed the global. Patient then came to our office for removal. This is an established patient with our clinic. I have read a few posts about charging an E&M and not the suture removal, but not sure how or what needs to be documented for an E&M code, it was my understanding we could not bill for suture removal or E&M in the global, Do we need modifiers?