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Billing E&M and Sutures in ED

  1. Unhappy Billing E&M and Sutures in ED
    Medical Coding Books
    I am doing a audit in ED. When a patient comes to ED with a "clear" laceration to the forearm, can you bill an E&M to evaluate the laceration and then suture the patient.

    I know it is clearer if the patient comes in with a head lac and they also evaluate the patient for a "head injury", you can bill both.

    But what about your standard finger lacerations and foot lacerations. Is an E&M appropriate?

  2. #2
    Default
    yes the E&M is necessary...I code ED all day long and never have I come across an encounter without evaluation and management.

    Quote Originally Posted by Barbara A. Love View Post
    I am doing a audit in ED. When a patient comes to ED with a "clear" laceration to the forearm, can you bill an E&M to evaluate the laceration and then suture the patient.

    I know it is clearer if the patient comes in with a head lac and they also evaluate the patient for a "head injury", you can bill both.

    But what about your standard finger lacerations and foot lacerations. Is an E&M appropriate?
    Rachele Porter, AS, CPC, CPC-H, CEDC
    no weapons formed against me shall prosper

  3. Default Billing E&M and Sutures in ED
    Thank you very much for your response. I thought so..but still was in doubt.

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