Suture Removal

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Question:

Our surgeon saw a patient in the ER for a fracture and reported the global fracture code. The ER physician had repaired a separate wound laceration at a different site prior to our surgeon arriving in the ER. The patient is now being seen in the office and the surgeon evaluated the wound area, and removed the sutures. Is this reportable and if yes, what CPT code would I use?

Answer:

There is no CPT code for suture removal in the office. If the surgeon evaluates the unrelated injury (laceration) and removes the sutures, the suture removal would be inclusive to the E&M and is reportable with an E&M services and a modifier 24 is appended to indicate the E&M is unrelated to the fracture care.