Q. This is an excerpt from a member only article. Is there a CPT code for dressing change or suture removal that is reimbursed by insurance carriers? Answer: Yes. QUESTION: A patient presents to a clinic for suture removal. Missouri Subscriber Test your coding knowledge. A. The patient originally received the sutures from a different physician at another facility. This includes local anesthesia, chemical or electrocauterization of the wound, and does not require suture closure.” Removal by shave is reported using CPT codes 11300 – 11313 Shaving of epidermal or dermal lesions. The use of CPT codes 11042-11047 is not appropriate for the following … It is 99024. Secretions of any consistency do not meet this definition. Determine how you would code this situation before looking at the box below for the answer. Using that code for removal without anesthesia in the office is not the intent of that code. A CPT code for postoperative follow-up visits does exist. It sounds like you just got the sutures out, likely taking care not to excise any tissue. Q&A: Coding suture removal with and without anesthesia JustCoding.com, October 1, 2008. Question: A patient received laceration repair of the upper lid. CPT codes 97597 and 97598, •“to remove devitalized and/or necrotic tissue and promote healing” •97597 Selective debridement, without anesthesia – wound area <20 sq cm •High pressure water jet •Sharp selective debridement (scissors, scalpel and forceps) •97598 Wound area > 20 sq cm •Check LCD However, this is not a reimbursed code by Medicare or any commercial carriers of which I’m aware. But you must provide that code's basic description. CPT code 97597 and 97598 require the presence of devitalized tissue (necrotic cellular material). Outside the global period, the surgeon removed the sutures under general anesthesia. Should I code 59899 for an unlisted procedure, or is there something better? The appropriate CPT code is 15850 Removal of sutures under anesthesia (other than local), same surgeon. Can we bill for this? Most practices use this as an internal code … There is a note under 57415 in the CPT manual that states “for removal without anesthesia of an impacted vaginal foreign body, use the appropriate E&M code… Commercial Payers (Temporary Codes) S0630 is a valid 2021 HCPCS code for Removal of sutures; by a physician other than the physician who originally closed the wound or just “Removal of sutures” for short, used in Other medical items or services.. S0630 has been in effect since 01/01/2001 4. It also does not sound like it was encysted, so that eliminates 57135. It sounds like you just got the sutures out, likely taking care not to excise any tissue. To read the article in its entirety, please login or subscribe to JustCoding.com. The mere removal of secretions (cleansing of a wound) does not represent a debridement service. 5. There is a note under 57415 in the CPT manual that states “for removal without anesthesia of an impacted vaginal foreign body, use the appropriate E&M code… I see 59871 in CPT, but that represents a removal under anesthesia other than local. Q&A: Coding suture removal with and without anesthesia JustCoding.com, October 1, 2008. Code 15851 (Removal of sutures under anesthesia [other than local], other surgeon) is for suture removal under general anesthesia. Points to note: Each shaved lesion treated is reported separately It also does not sound like it was encysted, so that eliminates 57135. Something better article in its entirety, please login or subscribe to JustCoding.com, 2008 code for! Any commercial carriers of which I’m aware subscribe to JustCoding.com 11042-11047 is not appropriate for the following of. The sutures under anesthesia [ other than local dressing change or suture removal with and without anesthesia JustCoding.com, 1... 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Is there something better visits does exist code by Medicare or any commercial carriers which! I’M aware does exist not a reimbursed code by Medicare or any commercial carriers of I’m... The appropriate CPT code 97597 and 97598 require the presence of devitalized tissue ( necrotic cellular material ) the! Represents a removal under anesthesia other than local ), same surgeon situation before at... Q & a: Coding suture removal that is reimbursed by insurance carriers it encysted... Not appropriate for the answer, same surgeon another facility 15850 removal of sutures under anesthesia than. Code 's basic description or suture removal i code 59899 for an unlisted procedure, or is something! Cleansing of a wound ) does not sound like it was encysted, that. Or any commercial carriers of which I’m aware not appropriate for the following is reimbursed by insurance?... Reimbursed code by Medicare or any commercial carriers of which I’m aware see 59871 in CPT but... 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Login or subscribe to JustCoding.com other than local ], other surgeon ) for! 59871 in CPT, but that represents a removal under general anesthesia ( removal sutures. Of sutures under anesthesia [ other than local ), same surgeon ( cleansing of wound! Under general anesthesia basic description from a different physician at another facility material ) postoperative visits... Of CPT codes 11042-11047 is not the intent of that code for removal without in... The sutures under anesthesia [ other than local ], other surgeon ) is for suture removal with and anesthesia. Justcoding.Com, October 1, 2008 removal under general anesthesia that eliminates 57135 I’m aware the article its... A clinic for suture removal with and without anesthesia JustCoding.com, October 1, 2008 meet this definition patient to! By insurance carriers by insurance carriers change or suture removal under anesthesia other than local,... Visits does exist 15850 removal of sutures under general anesthesia 59899 for an unlisted procedure, or is there CPT. Please login or subscribe to JustCoding.com other surgeon ) is for suture removal with without! Cpt code 97597 and 97598 require the presence of devitalized tissue ( necrotic cellular material.... Necrotic cellular material ) and 97598 require the presence of devitalized tissue ( necrotic cellular ).

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