Forum - Questions & Answers

Aug 9th, 2012 - rkmc 4 

Does anyone know if there is a CPT® code for suture removal, when the sutures are given by another physcian? I read in a blog that SO603 (HCPCS code) is used, but not sure how true it is? Thanks

Aug 9th, 2012 - nmaguire   2,606 

re: Does anyone know if there is a CPT® code for suture removal, when the sutures are given by another physcian? I read in a blog that SO603 (HCPCS code) is used, but not sure how true it is? Thanks

No, it is included in E/M (ex, 99211)

Aug 9th, 2012 - mwalters23 4 

re: Does anyone know if there is a CPT® code for suture removal, when the sutures are given by another physcian? I read in a blog that SO603 (HCPCS code) is used, but not sure how true it is? Thanks

Unless anesthesia is involved I would bill as an office visit w/dx code for post op aftercare and use a 55 modifier to show that the procedure was done by another physician.

Aug 9th, 2012 - nmaguire   2,606 

re: Does anyone know if there is a CPT® code for suture removal, when the sutures are given by another physcian? I read in a blog that SO603 (HCPCS code) is used, but not sure how true it is? Thanks

Sorry, modifier 55 cannot go on an E/M code.

Aug 9th, 2012 - mwalters23 4 

re: Does anyone know if there is a CPT® code for suture removal, when the sutures are given by another physcian? I read in a blog that SO603 (HCPCS code) is used, but not sure how true it is? Thanks

[Sorry, modifier 55 cannot go on an E/M code.]

I have billed like this before and have been paid accordingly.

Aug 9th, 2012 - rkmc 4 

re: Does anyone know if there is a CPT® code for suture removal, when the sutures are given by another physcian? I read in a blog that SO603 (HCPCS code) is used, but not sure how true it is? Thanks

I agree modifier 55 and E/M don't go together.

Aug 9th, 2012 - karentoth 2 

re: Does anyone know if there is a CPT® code for suture removal, when the sutures are given by another physcian? I read in a blog that SO603 (HCPCS code) is used, but not sure how true it is? Thanks

It is inappropriate use to append modifier 55 to an E&M code. You may have been paid, but look forward to giving that money back if your audited and use it on a routine basis.



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