• Revenue Cycle Management
  • COVID-19
  • Reimbursement
  • Diabetes Awareness Month
  • Risk Management
  • Patient Retention
  • Staffing
  • Medical Economics® 100th Anniversary
  • Coding and documentation
  • Business of Endocrinology
  • Telehealth
  • Physicians Financial News
  • Cybersecurity
  • Cardiovascular Clinical Consult
  • Locum Tenens, brought to you by LocumLife®
  • Weight Management
  • Business of Women's Health
  • Practice Efficiency
  • Finance and Wealth
  • EHRs
  • Remote Patient Monitoring
  • Sponsored Webinars
  • Medical Technology
  • Billing and collections
  • Acute Pain Management
  • Exclusive Content
  • Value-based Care
  • Business of Pediatrics
  • Concierge Medicine 2.0 by Castle Connolly Private Health Partners
  • Practice Growth
  • Concierge Medicine
  • Business of Cardiology
  • Implementing the Topcon Ocular Telehealth Platform
  • Malpractice
  • Influenza
  • Sexual Health
  • Chronic Conditions
  • Technology
  • Legal and Policy
  • Money
  • Opinion
  • Vaccines
  • Practice Management
  • Patient Relations
  • Careers

Q&A: Filing a claim for suture removal

Article

It is appropriate to bill for suture removal only when the sutures were provided by another Tax ID provider.

We almost always receive rejections from insurers when charging for suture removal in our office after our surgeons perform outpatient surgery in the hospital ER or outpatient center. How can we report these services to ensure they are paid?

Since there is no CPT code indicating suture removal per se, most practices simply use a low-level E/M service for that purpose (i.e., 99212). The only time it is appropriate to bill for suture removal, however, is when you are removing sutures placed by another Tax ID provider. The reimbursement for surgical services includes the removal of sutures placed during surgical procedures. It isn't appropriate to bill for suture removal if a surgeon from your group performed the original surgery. However, if the sutures were placed by an emergency room physician, it would be appropriate to charge for suture removal if the patient came to your office for the procedure.

Related Videos
© National Institute for Occupational Safety and Health
© National Institute for Occupational Safety and Health
© National Institute for Occupational Safety and Health
© National Institute for Occupational Safety and Health