A 12-year-old presents to your nurse for removal of sutures that had been placed in the emergency department (ED) 10 days previously. The nurse documents
Here for removal of sutures placed by ED physician after sustaining fall from skateboard. Sutures removed without difficulty, wound well healed.
There are 2 ways in which this service can be coded. Because the laceration repair was performed by another physician and the nurse provided the service, this could be reported as 99211. Documentation in this example supports the service. On the other hand, some payers may reimburse for the procedure code S0630, removal of sutures by a physician other than the physician who originally closed the wound. This Healthcare Common Procedure Coding System or Level II code was created by BlueCross BlueShield, but some other payers may recognize it. However, S0630does technically require that a physician remove the sutures. Therefore, unless...