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There are new CPT codes for suture and staple removal this year that cover related practice expenses and supplies. Here's what you need to know.
Use the correct CPT codes (+15853 or +15854) based on the type of suture or staple removal. Include an appropriate E/M code to evaluate the patient’s wound. Do not report the suture removal codes without a code for the primary service.
Two new CPT® 1 codes for 2023 represent suture / staple removal: These CPT codes can be used if the patient is not in a global period for the provider who removes the sutures / staples.
For the Current Procedural Terminology (CPT®) 2023 code set, coding changes were made to allow for reporting of postoperative suture and/or staple removal, when appropriate. Code 15850 was deleted, and code 15851 was revised. In addition, two new add-on codes (15853, 15854) were established.
The ACS recommended revision of code 15851 to describe suture or staple removal, specifically requiring general anesthesia or moderate sedation (for example, removal of sutures on the face of an infant).
CPT code 15851 describes the removal of sutures or staples under anesthesia, such as general anesthesia or moderate sedation. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.
The CPT code 15853, which involves the removal of sutures or staples requiring anesthesia, is subject to reimbursement by Medicare. To determine if this specific CPT code is reimbursed, healthcare providers should refer to the Medicare Physician Fee Schedule (MPFS).
If the patient must be placed under general anesthesia to remove the sutures, you may report 15850 Removal of sutures under anesthesia (other than local), same surgeon or 15851 Removal of sutures under anesthesia (other than local), other surgeon.
As of Jan. 1, 2023, we found a new CPT code for removing sutures or staples not requiring anesthesia (+ 15823). During a patient's glaucoma exam, the physician removes a loose suture from their eyelid.
The CPT code 15851, which involves the removal of sutures or staples requiring anesthesia, is reimbursed by Medicare. To determine the specific reimbursement rate, healthcare providers should refer to the Medicare Physician Fee Schedule (MPFS).