Results 1 to 6 of 6

Multiple Lacs

  1. #1
    Default Multiple Lacs
    Exam Training Packages
    I have an ER patient that got bit by a dog and had three different wounds sutured. There was a layered repair on the leg wound and two minor lacs sutured on the arm in two different areas. I know to add the two lac lengths on the arm together, etc, that is not my question. I am wondering in you can also code an E&M for this patient since there was more than one lac treated in different areas on the body. In the exam it states that the general appearance and the psych. were noted with symptoms as well as the wounds. I would also like to know what the case would be if those 2 areas of the body were not noted on the exam and it was just the multiple wounds. It seems to be at the root of a discussion in our office and I need input, please. We do pro fees for ER's.

  2. #2
    Location
    Phoenix, AZ
    Posts
    620
    Default
    IMO, if only the lacs treated = charge only for the lacs. Did your MD read x-rays or treat any other injury?
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

  3. #3
    Default
    No, there were no xrays done and the only injuries were all from the dog bites. They did give him pain meds and antibiotics, though, if that matters.

  4. #4
    Location
    Milwaukee WI
    Posts
    4,466
    Default Coding for an ER physician
    Leslie,
    I think you are coding for an ER physician.

    I believe the rules are somewhat different for ER coding. You might be wise to post your questions on the ER forum only.

    I do not do ER coding, so I'm not certain if this applies to your situation.

    In an office setting, an established patient who came in for laceration repair would get just the repair codes and no E/M service, unless there was some significant, separately identifiable E/M over an above that required for treating the laceration(s).

    However, I believe this may be different for Emergency Rooms ... both pro fee and facility.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  5. #5
    Default
    Ok, sorry about that. Thanks anyway.

  6. #6
    Location
    Phoenix, AZ
    Posts
    620
    Default
    Tessa, that's really interesting. I sent the question to an ER coder. I didn't know the rules were different there.
    Cyndi Allen, CPC, CIRCC
    2015 Local Chapter President, Casa Grande, AZ

Similar Threads

  1. Modifiers with multiple specimens with multiple IHC stains
    By ColqPath in forum Pathology & Clinical Laboratory
    Replies: 10
    Last Post: 05-09-2014, 03:43 PM
  2. Coding Multiple Procedures on Multiple Digits
    By lora.a.cherry@gmail.com in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 01-02-2014, 08:43 PM
  3. Coding Multiple Procedures on Multiple Digits
    By lora.a.cherry@gmail.com in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 01-01-2014, 12:34 PM
  4. Lacunar Stroke Syndrome (LACS)
    By robingeddie in forum Diagnosis Coding
    Replies: 2
    Last Post: 02-18-2011, 05:07 PM
  5. multiple E/M
    By rross in forum Hematology/Oncology
    Replies: 2
    Last Post: 01-12-2010, 01:10 PM

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.