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Thread: w/c question

  1. #1

    Default w/c question

    AAPC: Back to School
    If you have an E/M with a laceration repair, documentation supports billing both. Do you append the 54 modifier since someone else will be removing sutures?

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    yes put the 25 on the vist level and a 54 on the lac repair.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3

    Default Not Usually

    My experience has been that the 54 is generally not used for minor procedures such as Lac Repairs, I&Ds etc. This is because the definitive sevice is done in the ED. The 54 is used mostly for Fracture Care in the ED which would be surgical care only with follow up done by the Orthopod or Primary care doc..

  4. #4

    Default mod 54 for lac repair

    We do not add the 54 to lack repairs. We use them on fracture cares though.

  5. #5
    Join Date
    Apr 2007
    Columbia, MO


    If you are not going to be the one removing the sutures you must bill the repair with the 54 since the reimbursement for the repair includes the removal.

    Debra A. Mitchell, MSPH, CPC-H

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