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    Health Service Code 98.22A

    Laceration, face, up to 2.5 cms (1 unit) or body, up to 5 cms (1 unit)

    NOTE:

    See 98.22B for further notes and for lacerations exceeding the lengths listed above.

    Category:M Minor Procedure
    Base rate:$57.05

    AMA billing tips:

    • Remember the 3 L's: Length, location, layers.

      Length and Location For total lengths that are over any unit by any amount, round up to the next unit. Facial lacerations = 2.5 cm per unit (ears, under jaw bone and hair line forward is considered the face). Body lacerations = 5.0 cm per unit (remainder of body including scalp)

      Layers For multiple layered lacerations, measure and count each layer separately

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    BMIBMIANEYesIncrease By25%
    BMIBMIANTYesIncrease By25%
    BMIBMIPROYesIncrease By25%
    ROLEANEYesReplace Base$109.31
    ROLEANESTYesReplace Base$18.39
    ANUANU1For Each Call Pay Base At100%
    ANUANU2 - 150For Each Call Increase By$18.39
    UGAUGAYesReplace Base$134.85
    TRAYMAJTIncrease By$38.78
    NBTRNBTRYes
    SURCEVYesIncrease By$48.70
    SURCNTAMYesIncrease By$116.83
    SURCNTPMYesIncrease By$116.83
    SURCWKYesIncrease By$48.70
    LVPLVP75YesReduce Base To75%

    Governing Rules: