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suture removal coding help

  1. #1
    Default suture removal coding help
    Medical Coding Books
    Since there is no "global period" for simple laceration repairs, can a doctor charge an office visit and a copay when the patient comes in for suture removal? Under the codes 12001-12021 it doesn't say anything about "global surgery package". Wheras under codes 11400-11446 lesion removal it states "global surgery package definition"?
    ps, this question would be for the same doctor doing the procedure or another doctor. Thanks
    ps#2 I have asked this question in the past and gotten have two different answers. So I wanted to see if there was an "updated" answer.

  2. #2
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    Columbia, MO
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    No global means yes you can charge for the suture removal,with an office visit, be sure to use the v code for suture removal and not the laceration code. You will need to check with different payers as some did not go alone with Medicare on this, so if there is a global and you put them you cannot charge to remove them, if you did not out them in the you will charge the procedure use to repair the lac with a 55 modifier. If there is no global then you may charge an E&M to remove the sutures whether your provider repaired the lac or a different provider repaired it.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Default suture removal
    You're question would imply that the provider you are billing for has placed the sutures to begin with. If the original procedure doesn't have any global days then you can bill an e/m code est pt 99212 with the appropriate V code.
    If the patient had sutures placed say in the ER and is coming in to the office to have them removed then the answer is the same bill an e/m with the V code.
    If the original procedure does have global days then you can bill out a post operative visit code of 99024 (keep in mind that medicare doesn't cover that code)

  4. #4
    Default
    Thank you very much, and for both replies being the same answer

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