MSP BillBudBilling a laceration repair plus specialist phone advice (14018)
The scenario
82M presents with a 5cm laceration on the forearm requiring sutures. You are CCFP-EM and call orthopedics for phone advice about a concurrent wrist issue. Day shift.
How to bill it
Level 1 (
01811) $44.35 + 13611 lac with anesthetic at 50% = $37.86 + 14018 called specialist (CCFP-EM) $50.44 = $132.65. FRCPC would use 78711 ($60.00) instead. The 50% rule applies to the lesser of level + procedure. Phone code is billed at full; it's a separate service.What to watch for
Standard lac repair + phone code. Watch the 50% rule. The designation matters for the phone code.
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