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Thread: can we code 11010

  1. #1

    Default can we code 11010

    AAPC: Back to School
    scenario: Patient received an open tuft fracture distal phalanx rt third digit with soft tissue avulsion and was seen in the ER by the ER physician. The ER physician contacted the Orthopedic specialist and discussed the situation and would be seen the next day by the ortho dr. In the ER the ER dr. stated no bony fraguments visualized, no foreign bodies after copious irrigation with Polymyxin solution and Hibiclens.Applied adaptic followed by Kerlix, tube gauze and a palmar splint to protect injury. Is it appropriate to bill 11010 or just the E&M and splint application code. This is physician charges not facility. Any help would be appreciated. Thanks.

  2. #2
    Join Date
    Apr 2007
    Salt Lake City


    It sounds to me like he is just cleaning the wound and there were no sutures right? I would say there is no code for that there was no removal of tissue or bone?
    Jenifer McPolin CPC, CPMA, RCC

  3. #3


    I agree, I would not code the 11010.

  4. #4
    Join Date
    Apr 2007
    San Antonio, TX


    agree, only the ER visit should be billed.
    Revenue Cycle Supervisor

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