Results 1 to 3 of 3

Thread: Removal of Staples

  1. #1

    Default Removal of Staples

    Promo: Code Books
    Pt had surgery out-of-state for a bone flap replacement. Our rehabilitation doctor received a script from pt's surgeon to remove 69 staples from pt's scalp (no anesthesia was used). Pt is established with our office, but I am puzzled as far as what CPT to code to accurately translate the service that took place. Does our service count as part of the global period for the surgeon out-of-state, is this bundled with an office visit, can I use an unlisted code and attach notes, or do we need to find out the procedure code that took place in the other state and append mod-55? Any insight would be helpful. Thanks!

  2. #2
    Join Date
    Apr 2007
    Location
    Milwaukee WI
    Posts
    4,451

    Default Are you provided all post-op care?

    If you're providing all the post-op care, then I'd try the mod 55 approach ... of course the surgeon who performed the procedure should have used the 54 modifier.

    But if the patient had some post-op care by the surgeon, s/he probably didn't use the -54 modifier, so you won't be able to use the -55 modifier.

    I would then bill the appropriate E/M service for this (that's a LOT of staples! ... doctor may want to record time and include prolonged service if it takes 30 minutes more than E/M level documented) Even if it's not over 30 minutes more than the E/M you can still use the -21 modifier for DOS in 2008.

    F Tessa Bartels, CPC, CPC-E/M

  3. #3

    Default

    Thanks! This helps!

Similar Threads

  1. Replies: 1
    Last Post: 11-03-2016, 07:33 AM
  2. Removal of Staples
    By sbethea in forum Emergency Department
    Replies: 2
    Last Post: 03-29-2013, 01:03 PM
  3. Staples removal
    By bwalters in forum E/M
    Replies: 1
    Last Post: 01-27-2012, 02:27 PM
  4. ER visit w/ stab wound repair by staples
    By bill2doc in forum Emergency Department
    Replies: 4
    Last Post: 12-19-2011, 06:24 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.