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Charges for sutures in the ED

  1. #1
    Default Charges for sutures in the ED
    Medical Coding Books
    Our physicians are not employed by the hospital. When sutures are done by the physician in the ED, I charge for the appropriate suture CPT procedue code (and E/M) but the hospital coder is also charging the same CPT code on the facility side (along with any supplies/meds/E/M). Is this appropriate? My gut says no, only the physician can charge for the CPT (no supplies/meds). Any comments??????

  2. #2
    Default Laceration repair
    Take a look at this book preview, right hand column page 167. Hope it helps.

    http://books.google.com/books?id=94D...esult&resnum=4
    Heather Winters, CPC, CFPC

  3. #3
    Default
    Thank you SO much Heather. This info is going to be very useful :-)
    Angie, CPC

  4. #4
    Location
    Columbia, MO
    Posts
    12,531
    Default
    That was a great article Heather. Yes the facility charges the same procedure as the physician in order to be reimbursed for their resourses consumed in the performance of that procedure, and while the procedure codes must match, the E&M levels can be different.
    Debra Mitchell, MSPH, CPC-H

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