No matter how you look at it, accurately coding and getting paid for outpatient laceration repairs is challenging and often confusing (especially for multiple repairs). And it isn’t going to get any easier. Laceration repair codes are not currently slated to have any updates next year.
Coding incorrectly for these common procedures can have dire consequences. And just because your laceration repair claims are being paid, doesn’t mean you’re coding correctly.
CMS states in their “2017 Medicare Fee-for-Services Supplemental Improper Payment Data” report that they overpaid minor outpatient skin procedure claims by $1,326,981 billion due to inaccurate coding and “upcoding.” If you think federal auditors and regulators are not coming after that money, THINK AGAIN. And if you overcompensate in the other direction and downcode your claims, you are losing money and not being adequately paid for the laceration repair services you’re providing.
The good news is that there are tactics you can utilize to ensure you are coding accurately (not up- or downcoding) for your laceration repairs, and coding expert, Gloryanne Bryant, RHIA, CDIP, CCS, CCDS, AHIMA Approved ICD-10-CM/PCS Trainer, can tell you how. During her, 60-minute online training session, Gloryanne will walk you through how to improve the accuracy of your laceration repair CPT coding (especially multiple repairs) to ensure you are paid more precisely for the services you provide.
Here are just a few of the practical, plain-English laceration repair coding strategies and tactics you’ll receive by taking advantage of this 60-minute, expert-led online training:
- More accurately code for multiple lacerations at the same anatomic site (addition is key)
- Key laceration closure technique documentation terms to help you choose the best code
- Easily identify simple, intermediate and complex laceration repair (12001- 13160)
- Avoid lost revenue when repairing differing levels of lacerations during the same visit
- Proven strategies to avoid both up- and downcoding for multi-layered closures
- Master modifiers 51 and 59 (incl. X modifiers) to improve accurate multi-repair reimbursement
- Determine when and how to ethically code separately for debridement
- Head off a Medicare/Medicaid audit by utilizing a laceration checklist
- And so much more…
Who is this for? All healthcare professionals interested in coding and being accurately reimbursed for CPT Integumentary System “Repair” codes for simple, intermediate and complex closure.
One of the biggest challenges to correctly coding laceration repairs, is that you must accurately decipher provider documentation. And considering the codes are varied based on the laceration size, anatomic site, and the complexity of the repair, this is no easy task. However, by taking advantage of this online training, you’ll receive real-world case examples with step-by-step guidance to better identify key terminology to more easily choose the most accurate laceration repair code.
***Registration for this training is limited to ensure all attendees have time to get their questions answered.
CEUs: This program meets AAPC guidelines for 1.0 CEUs. On Demand product requires successful completion of a Post-Test for Core A, CPCD, CPRC and CPMA for continuing education units.
Meet Your Expert: Gloryanne Bryant, RHIA, CDIP, CCS, CCDS, AHIMA Approved ICD-10-CM/PCS Trainer
Gloryanne is an HIM Coding professional and Leader for over 40 years. She has an RHIA, CDIP, CCS, CCDS, and is an AHIMA-Approved ICD-10-CM/PCS Trainer. In the past she was the National Director of Coding Quality and Education for a national healthcare system. She was also the key national leader for ICD-10 Coding Education and Training across 8 regions from 2010 to mid-2016. Prior to May 2009, she was the Corporate Senior Director of Coding HIM Compliance for Catholic Healthcare West (CHW) Dignity Healthcare for more than eight years.
Ms. Bryant has conducted numerous educational programs on ICD-10-CM/PCS and CPT coding. In addition, she’s provided MS-DRG, APR-DRGs, APC (OPPS), HCC, CDI (Clinical Documentation Improvement), leadership and compliance seminars and workshops for hospital and physician-based coding staff, Coding and HIM Leaders, and others.
In June 2000, Gloryanne received the “CHIA Literary Award” from the California Health Information Association (CHIA) for her many articles related to clinical documentation improvement, compliance, data quality integrity, ethics and coding. In 2003 she received the CHIA award for “Distinguished Member”; on June 2015 she received the CHIA “HIM Champion Award” for her extensive advocacy work for and with ICD-10 implementation; and in 2017 she received the CHIA “Volunteer Award”. Gloryanne received the AHIMA “Triumph Award” in the category of HIM “Champion” in 2007. She received the Northern California HFMA Award for “Author of the Year” 4 times for numerous healthcare compliance and regulatory articles, and in 2017 she received the “Silver Award” for her many professional contributions.