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Pediatric Coding Alert

Stitch Up Successful Suture Removal Coding

Published on Fri Jan 01, 2010

Watch original service and wound assessment to know when -- and what -- to report. Suture removal is considered to be such an automatic part of normal follow-up that CPT doesn't have a code specifically for the service. The lack of code choice, however, doesn't mean reimbursement is never a possibility. Focus on three key areas of suture removal, and ensure deserved payment for this commonly provided service. Double Check the Original Service Before analyzing how to best code suture removal, verify that you can code the service in the first place. Here's why: If a pediatrician within your group placed the sutures, you cannot bill for their removal. The original laceration repair code includes uncomplicated, related procedure follow-up visits and suture removal. Exception: If another physician placed the sutures and you remove them, however,you can bill for the wound check and removal. For example, one of your patients has an accident [...]
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