• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Suture removal, Medicare

lsnowden

New
Messages
2
Location
Goshen, MA
Best answers
0
Is it okay to bill this to Medicare for an Urgent care visit?

S61.011D - Laceration without foreign body of right thumb without damage to nail, subsequent encounter
Z48.02 - Encounter for removal of sutures
99212 – E&M established pt.



my information states that:

Medicare includes the following services in the global surgery payment when provided in addition to the surgery:
• Miscellaneous services, such as dressing changes, local incision care, removal of operative pack, removal of cutaneous sutures and staples, lines, wires, tubes, drains, casts, and splints; insertion, irrigation, and removal of urinary catheters, routine peripheral intravenous lines, nasogastric and rectal tubes; and changes and removal of tracheostomy tubes

but since 12001 has no global days (000) Do you think this is okay to bill?

Medicare paid and left $35 copay for pt.
 
Remove the z48.02. You do not use aftercare Z code for injury and trauma only the injury code with the D or S is needed for aftercare. Otherwise you should be fine with 0 global days.
 
Top