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Wiki marlee

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mcharlton

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Could someone tell me which code and modifier do I use when someone has stitches in the ER then comes to physician's office to have them removed?
 
You use the same repair code they used in the ER and add a 55 modifier. In Box 19 of the 1500 you put a transfer of care notation, and be sure to keep something in the chart ot indicate a transfer of care. The discharge instructions for the ER if they say return to family doc or a verbaly authorization notation. If the patient were instructed to return to the ER but they declined then you have no authorization to remove them.
 
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