Does anyone have any documentation for billing an encounter only for suture removal? I don't think it should be billed and just wanted to make sure.
What if you are removing sutures done by an outside provider, such at the ER?
In 2010 Medicare stated that minor laceration repairs have a 0 global day, many private payers have followed this rationale. Therefore if the ER repairs a laceration and your office is removing the sutures, you use a low level office visit for your physician to evaluate the patient and remove the sutures. No modifier is needed and you do not use the Z code for suture removal, you use the laceration code with 7th character D.
Also this cannot be a nurse only encounter. The physician she is employed with must first evaluate the patient and write the order for the removal.