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