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    Health Service Code 98.22B

    Laceration, face, over 2.5 cms (1 unit) and/or body, over 5 cms (1 unit)

    For each layer or unit, refer to Price List

    NOTE:

    The following applies to HSCs 98.22A and 98.22B.

    1. Benefit includes primary closure of wound by any method excluding adhesive tape skin closure or simple bandaging, normal wound care follow-up and suture removal.
    2. Where the laceration is treated with the use of adhesive tape skin closure or simple bandaging, a visit should be claimed.
    3. Where multiple lacerations are repaired, use the combined length.
    4. May only be claimed when the laceration is a result of a trauma either minor or major.
    5. May not be claimed in addition to an elective procedure.
    Category:1 Major Procedure (pre-operative period: 0 days, post-operative period: 14 days)
    Base rate:$60.22

    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$110.43
    ROLEANESTYesReplace Base$18.39
    ANUANU1For Each Call Pay Base At100%
    ANUANU2 - 150For Each Call Increase By$18.39
    CALLF2.5B51For Each Call Pay Base At100%
    CALLF2.5B52 - 12For Each Call Increase By$30.13
    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: