ED Coding and Reimbursement Alert
Report Dx Code for Each Decubitus Ulcer
Question: A patient reports to the ED with decubitus ulcers on her right heel and left elbow. The physician performs partial-thickness debridement on the heel and full-thickness debridement on the elbow. Can we report each debridement separately? Montana Subscriber On the claim, report the following codes:
Answer: Since the wounds were in different anatomical locations and required different levels of treatment, you-ll report a procedure code for each debridement. Your claim should also include a pair of diagnosis codes, one for each ulcer.
ED Coding and Reimbursement Alert
- Distinguish Complicated I&D Documentation From Simple to Boost Pay
Focus on complexity to choose between 10060 and 10061 If you can differentiate between a [...] - Medicare Approves Paying for More Moderate (Conscious) Sedation Scenarios
But sedation codes still have Medicare -C- status There is good news for ED coders: [...] - Reader Question:
Include 948.xx for Your Burn Patients
Question: I have been coding for a few months, but I still get stumped on [...] - Reader Question:
Report Dx Code for Each Decubitus Ulcer
Question: A patient reports to the ED with decubitus ulcers on her right heel and [...] - Reader Question:
Look for Nerve Block on Trigeminal Neuralgia Encounters
Question: A patient reports to the ED reporting severe pain on the right side of [...] - Reader Question:
3-Plus Trigger Point Shots Alter Code Choice
Question: A patient suffers whiplash from crashing his car into a parked vehicle, and the [...] - Reader Question:
You Can Report V Codes As Primary -- Sometimes
Question: Please straighten something out for me. I have heard again and again that I [...] - Reader Question:
Adverse-Reaction Pay Depends on Insurer
Question: The ED physician performs simple repair on a 4.6-cm laceration on a patient's right [...] - Reader Question:
Be Alert When Assigning Consciousness Codes
Question: The ED physician saw a patient and documented the reason for the visit as [...] - Reader Question:
Remember ICD-9 Code on Bladder Scan Claim
Question: A patient presented complaining of pain during urination. The physician performed a post-voiding bladder [...] - Reader Question:
Observe Differences in CMS, CPT Consult Criteria
Question: It is my understanding that if a requesting physician asks for an opinion about [...] - You Be the Coder:
Coding When ED Physician Calls on Specialist
Question: A patient presents with a badly injured left ankle. During the course of a [...]
