AAPC - Back to school
Results 1 to 3 of 3

Thread: Suture removal

  1. #1
    Join Date
    Apr 2007
    Carmel, New York

    Default Suture removal

    AAPC: Back to School
    This question has been posed to me from a compliance perspective for suture removal. A patient presents to the ER and has sutures inserted as part of a procedure. A proposal has been made to suggest to the patient to go to his primary MD for suture removal. If that can't be done, then the patient would present to the ER for removal. There are issues with this for ER co-pays - many of which are very high for a simple suture removal. Is this a problem if no bill is generated in the ER?

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    As far as the facility charge? I would suggest that on your assesment tool for facility charges then you assign 0 points to a suture removal or something like that so that you can show why the visit was not charged out. In the facility I helped with this we used a point system that started with 5 points for a lowest visit level therefore anything that was less than 5 points was not billed out due to criteia not met for a level. Without knowing how you assign visit levels for the facility it is hard to advise. As far as the physician charge, it is global and not billable. Also for your physician charge if you send the patient to the PCP for removal then you must append the 54 modifier to the CPT code for the repair.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Join Date
    Apr 2007
    Carmel, New York

    Default Thanks!

    Yes, this is for the facility charge, and I do know that they assign points. I don't have the breakdown in front of me right now, so I don't know the current point assignment for suture removal. But it is a suggestion I will present, if this is the way they wish to proceed.

    Thank you.

Similar Threads

  1. Suture removal
    By vhammons in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 01-06-2014, 02:34 PM
  2. suture removal
    By TLC in forum Medical Coding General Discussion
    Replies: 3
    Last Post: 05-01-2013, 01:05 PM
  3. Suture Removal:Level of Service or FB Removal?
    By Checkin02@yahoo.com in forum Ophthalmology/Optometry
    Replies: 2
    Last Post: 06-06-2011, 12:42 PM
  4. suture removal
    By vj_tiwari in forum Emergency Department
    Replies: 16
    Last Post: 07-27-2010, 07:07 AM
  5. Suture Removal
    By abash in forum Medical Coding General Discussion
    Replies: 4
    Last Post: 05-27-2010, 03:39 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?


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.