Diagnosis Code 998.2. ICD-9: 998.2. Short Description: Accidental op laceration. Long Description: Accidental puncture or laceration during a procedure, not elsewhere classified. This is the 2014 version of the ICD-9-CM diagnosis code 998.2.
You can code for all of them. When the patient has multiple lacerations of the same repair complexity on the same body part, coding is easy: You simply add the lengths of each wound together and choose the matching code. How do I code for suture removal?
For claims with a date of service on or after October 1, 2015, use an equivalent ICD-10-CM code (or codes). lacrimal apparatus (traumatic) 870.2 with laceration of eyelid 870.2 with laceration of eyelid 870.2 ICD-9-CM codes are used in medical billing and coding to describe diseases, injuries, symptoms and conditions.
Removal of sutures by the physician who originally placed them is not separately reportable since the removal is included in the initial laceration repair code.
ICD-10 code Z48. 02 for Encounter for removal of sutures is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Short description: Open wound site NOS. ICD-9-CM 879.8 is a billable medical code that can be used to indicate a diagnosis on a reimbursement claim, however, 879.8 should only be used for claims with a date of service on or before September 30, 2015.
Z48. 02 - Encounter for removal of sutures. ICD-10-CM.
It is S0630 Removal of sutures by a physician other than the physician who originally closed the wound (not valid for Medicare).
ICD-9-CM is the official system of assigning codes to diagnoses and procedures associated with hospital utilization in the United States. The ICD-9 was used to code and classify mortality data from death certificates until 1999, when use of ICD-10 for mortality coding started.
13,000 codesThe current ICD-9-CM system consists of ∼13,000 codes and is running out of numbers.
The patient's primary diagnostic code is the most important. Assuming the patient's primary diagnostic code is Z48. 02, look in the list below to see which MDC's "Assignment of Diagnosis Codes" is first. That is the MDC that the patient will be grouped into.
How should the suture removal be reported? If the physician/group who is removing the sutures did not place the sutures, then the suture removal would be considered part of the E/M (Evaluation & Management). The ICD-10 for suture removal would be used.
Code S0630 says “Removal of sutures by a physician other than the physician who originally closed the wound” as long as a different physician than the one who placed the sutures removes them.
CPT code 12001,12018 – Laceration repair.
99024 - Postoperative follow-up visit, normally included in the surgical package, to indicate that an evaluation and management service was performed during a postoperative period for a reason(s) related to the original procedure.
99386- Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; 40-64 years.
A facial laceration is a cut or tear in the soft tissue of your face or neck. Injuries to the face, head and neck, including lacerations, abrasions, hematomas and facial fractures, account for a large number of emergency room visits. Many of these injuries may be repaired by emergency room physicians.
ICD-10-CM Code for Laceration without foreign body of other part of head, initial encounter S01. 81XA.
Assault ICD-10-CM Code range X92-Y09.
W19.XXXAUnspecified fall, initial encounter W19. XXXA is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM W19.
998.2 is a legacy non-billable code used to specify a medical diagnosis of accidental puncture or laceration during a procedure, not elsewhere classified. This code was replaced on September 30, 2015 by its ICD-10 equivalent.
Code also note - A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.
due to accidental puncture or laceration during procedure 998.2
Type 1 Excludes Notes - A type 1 Excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
NOS "Not otherwise specified" - This abbreviation is the equivalent of unspecified.
Experienced medical billing and coding service providers will ensure accurate coding for laceration repairs by considering the complexity, location and subcategory, size, and whether multiple repairs were performed. Comprehensive physician documentation is vital to determine the complexity and size of the repair (s). As there is a considerable difference between the payment for the various repair types, lack of proper documentation can affect coding precision and the provider’s reimbursement.
A complex repair code is used to bill the most complicated surgical repair that a physician will perform on the integumentary system, though complex repair excludes the excision of benign or malignant lesions. Complex repair is billed when the physician performs more than layered closure. Additionally, if a benign lesion was removed before the wound repair procedure, a minimum of two surgical codes can be billed: one for the removal and one for the repair.
Medical coding outsourcing is a practical option to negotiate the maze of laceration repair codes and guidelines.
The American Medical Association provides the following guidance on suture removal: Removal of sutures by the physician who originally placed them is not separately reportable since the removal is included in the initial laceration repair code.
If a provider has placed sutures for a patient and the patient returns to the same provider for the suture removal, then the visit for the suture removal cannot be charged, because the removal is included in the initial laceration repair code.
A layered closure constitutes an intermediate repair and the intermediate repair code should be billed even if the physician does not specifically use the word “intermediate” in the documentation.
You can code for all of them. When the patient has multiple lacerations of the same repair complexity on the same body part, coding is easy: You simply add the lengths of each wound together and choose the matching code.
If a patient comes for postoperative treatment such as Suture Removal during Global Period of a set of procedures (usually 10 days for minor surgical procedures such as laceration repairs, and 90 days for major surgical procedures), code the visit using CPT Code 99024 , and there will be no problem.
For suture removal, its code falls under medicine sections in Category I, where the Suture Removal CPT Code is 99024.
CPT (Current Procedural Terminology) Codes are codes about diseases, health services, and procedures created by AMA (American Medical Association). On the other hand, ICD (International Classification of Diseases) Codes are also codes about diseases, health services, and procedures, but they are created by WHO (World Health Organization).
The code cannot be billed for doctor service. Also, to bill 99211, a provider should present (even if the person is only in the office and not seeing the patient) when the nurse or the medical assistant performs the service that may be a wound check, a dressing change, or suture removal.
Suture removal is usually a post-operative procedure. Suture removal is a part of a series of procedures under one diagnosis or one health case. However, there are some cases that suture removal is reimbursed separately. CPT Code for Suture Removal can be quite confusing for the health administration staff, the physician, the patient, ...