suture removal

by Barb
(Rochester,NY)

A patient presents to the ER with a laceration, and the ER Physician sutures him, then tells the patient to see his doctor in 5 days for the removal. But instead the patient comes back to the ER for the removal.


Can the ER charge for that removal?

Response:

Thanks for your question. I'm not knowledgeable on ER coding so I'll post for our visitors to offer comments below.

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Oct 25, 2016
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MEDICAL BILLER
by: Anonymous

Hello,

No, the removal fee is included in the original claim. The patient is supposed to return to the facility that the patient was originally seen at for the removal. If the patient were to go elsewhere the patient would be charged out of pocket (usually $25) as the removal was already paid to the original provider. The patient cannot be billed if the removal is done at the same facility even if it is removed by a different provider.

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