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Oct 13th, 2012 - shugrbutrfly

2012 CPT® Evaluation and Management Physician Services

What is the 2012 CPT® E/M Codes Physician Services for Emergency Outpatient with Upper inner lip laceration,requiring simple suture repair?

Oct 13th, 2012 - nmaguire   2,606 

re: 2012 CPT® Evaluation and Management Physician Services

CPT® Code need to know length in cm, example
12013
Simple repair of superficial wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm
The E/M code: Carriers pay for an E/M service provided on the day of a procedure with a global fee period if the physician indicates that the service is for a significant, separately identifiable E/M service that is above and beyond the usual pre- and post-operative work of the procedure. a. Billing for a visit would not be appropriate if
the physician only identified the need for sutures and confirmed allergy and immunization status. In the circumstance when the decision to perform a minor procedure is typically done immediately before the service (e.g., whether or not sutures are needed to close a wound, whether or not to remove a mole or wart, etc.), it is considered a routine preoperative service and a visit or consultation should not be reported in addition to the procedure. (Trailblazers, Medicare).



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