Outpatient Facility Coding Alert
Reader Question:
Closing Wound With Dermabond
Published on Fri May 24, 2013 
PDF
PDF
Question: One of the wound clinic physicians treated a patient with traumatic wounds. The patient has intellectual disabilities and is known to pick his wounds and remove dressings against medical advice. The physician used Dermabond to hold the patient’s skin in place until the next week’s treatment. How should we bill this encounter?
Answer: In a hospital-based clinic, you can bill the Dermabond as a supply and the visit as an E/M according to the facility’s leveling criteria. This would be essentially be a dressing change with a liquid adhesive dressing.
Mississippi Subscriber
Other Articles in this issue of
Outpatient Facility Coding Alert
- Podiatry:
Stamp Out Heel Spur Treatment Denials With These 3 Checkpoints
Don’t miss your chance to add other services to the claim. You’re likely familiar with [...] - Therapy Services:
Get Ready for RAC Manual Reviews for Therapy Claims Over $3700
Experts concerned that RACs get paid extra for every claim they deny. If you thought [...] - HIPAA:
Fool-Proof Your BA Contracts As They Go Under Scrutiny
Here’s why your agreement details are more important than ever. Federal authorities continue to crack [...] - ICD-10:
Learn These Foundational Phrases That Build ICD-10 Code Sets
Good news: Many go-to terms will be familiar to your staff. The focus for many [...] - You Be the Coder:
Non-Infected BB Pellet Removal From Hand
Question: A patient presented to our clinic for excision of a foreign body from his [...] - Reader Question:
Penalties Could Be Coming for Illegible Documentation
Question: My physician’s handwriting really is difficult to read sometimes, and I’m nervous because I’ve heard [...] - Reader Question:
Ask for More Details Before Submitting 31256 for Nasal Endoscopy
Question: During a nasal endoscopy, the ENT dictated that the patent maxillary antrostomy could be [...] - Reader Question:
Closing Wound With Dermabond
Question: One of the wound clinic physicians treated a patient with traumatic wounds. The patient [...] - Reader Question:
Remember Modifier 26 for Hand-Off X-Ray Interpretation
Question: I bill for both our urgent care center and the Emergency Department. An urgent [...] - Reader Question:
Separate Charges for Pilonidal Cystectomy and Z-plasty Could Apply
Question: A proctologist treated a patient for pilonidal cystectomy. A plastic surgeon was involved with [...] - Reader Question:
Simple Wart Excisions for Multiple Locations Still Mean 17110
Question: Our physician performed two wart excisions (one from the elbow, the other from the [...] - Reader Question:
Watch for Different Payer Policies on Billing Drugs With Anesthesia Service
Question: Our GI group owns its own endoscopic suite where colonoscopies are performed in this [...] - Reader Question:
Yes, You Can Report 2 Codes for Repairs of Both Shoulders
Question: Our surgeon wants to report two units of 23410 for repairs done in same [...]
View All