Can we bill for this? The use of CPT codes 11042-11047 is not appropriate for the following … Most practices use this as an internal code … It also does not sound like it was encysted, so that eliminates 57135. 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 Code 15851 (Removal of sutures under anesthesia [other than local], other surgeon) is for suture removal under general anesthesia. A CPT code for postoperative follow-up visits does exist. It also does not sound like it was encysted, so that eliminates 57135. 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 Secretions of any consistency do not meet this definition. Q&A: Coding suture removal with and without anesthesia JustCoding.com, October 1, 2008. It sounds like you just got the sutures out, likely taking care not to excise any tissue. Outside the global period, the surgeon removed the sutures under general anesthesia. Determine how you would code this situation before looking at the box below for the answer. 4. To read the article in its entirety, please login or subscribe to JustCoding.com. Missouri Subscriber Test your coding knowledge. It sounds like you just got the sutures out, likely taking care not to excise any tissue. Is there a CPT code for dressing change or suture removal that is reimbursed by insurance carriers? CPT code 97597 and 97598 require the presence of devitalized tissue (necrotic cellular material). QUESTION: A patient presents to a clinic for suture removal. Q&A: Coding suture removal with and without anesthesia JustCoding.com, October 1, 2008. The appropriate CPT code is 15850 Removal of sutures under anesthesia (other than local), same surgeon. But you must provide that code's basic description. 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… However, this is not a reimbursed code by Medicare or any commercial carriers of which I’m aware. The mere removal of secretions (cleansing of a wound) does not represent a debridement service. It is 99024. The patient originally received the sutures from a different physician at another facility. Using that code for removal without anesthesia in the office is not the intent of that code. Question: A patient received laceration repair of the upper lid. Should I code 59899 for an unlisted procedure, or is there something better? Answer: Yes. Points to note: Each shaved lesion treated is reported separately 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… 5. I see 59871 in CPT, but that represents a removal under anesthesia other than local. 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. This is an excerpt from a member only article. A. Q. Patient originally received the sutures under anesthesia ( other than local ], other )! 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