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suture of bleeding artery only- no repair

  1. Default suture of bleeding artery only- no repair
    Medical Coding Books
    We have a patient who cut the tip of his finger with a saw. He comes in to see the General surgeon.

    MD states that there are two "arterial bleeders" which he repairs as follows:

    "Control of the bleeding was recommended using
    figure-of-eight sutures of 4-0 Vicryl. The patient consented, and after
    prepping the thumb with Betadine, 2 figure-of-eight sutures of 4-0
    Vicryl were placed with satisfactory control of the bleeding. A dry
    gauze followed by tube gauze was replaced and the patient instructed to
    keep the hand elevated."

    MD recommends PT to see hand surgeon for further wound closure and repair. PT refuses further care. States he will let it heal on it's own without closure.

    How to bill for the control of the bleeding?

    Thanks.
    Rachell Lindley, CPC
    Multispecialty Clinic Coding
    Audiology
    Rheumatology
    Internal Medicine
    General Surgery
    Family Medicine
    Cardiology
    Oncology
    OBGYN

  2. Default
    I would code it 12001, simple repair. "Simple ligation of vessels in an open wound is considered as part of any wound closure".

  3. Default
    with a 52 since MD did not close?
    Rachell Lindley, CPC
    Multispecialty Clinic Coding
    Audiology
    Rheumatology
    Internal Medicine
    General Surgery
    Family Medicine
    Cardiology
    Oncology
    OBGYN

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