Wiki Charges for sutures in the ED

[QuadRider]

Our physicians are not employed by the hospital. When sutures are done by the physician in the ED, I charge for the appropriate suture CPT procedue code (and E/M) but the hospital coder is also charging the same CPT code on the facility side (along with any supplies/meds/E/M). Is this appropriate? My gut says no, only the physician can charge for the CPT (no supplies/meds). Any comments??????

 

[heatherwinters]

Laceration repair

Take a look at this book preview, right hand column page 167. Hope it helps.

http://books.google.com/books?id=94...j-7MMH&sa=X&oi=book_result&ct=result&resnum=4

 

[QuadRider]

Thank you SO much Heather. This info is going to be very useful
Angie, CPC

 

[mitchellde]

That was a great article Heather. Yes the facility charges the same procedure as the physician in order to be reimbursed for their resourses consumed in the performance of that procedure, and while the procedure codes must match, the E&M levels can be different.
Debra Mitchell, MSPH, CPC-H