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ED Coding and Reimbursement Alert

Emergency Department Coding:

Choose Carefully on Refill E/M

Published on Mon Feb 10, 2025

Question: A patient with benign prostatic hyperplasia (BPH) without lower urinary tract symptoms presents to emergency department (ED) for a prescription refill, as they don’t have a primary care physician (PCP). The patient presents every month for the same refill of their BPH medication. These visits involve minimal Amount and/or Complexity of Data to Be Reviewed and Analyzed. The patient [...]
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