ED Coding and Reimbursement Alert
Check Dwelling Status, Choose Correct Cath Code
Question: A female patient reports to the ED complaining of burning during urination and pelvic pain. The nurse is unable to place a catheter, and to rule out a urinary tract infection (UTI), the physician performs a bladder catheterization. Notes indicate that the physician used a quick catheter kit to obtain the sample using standard sterile technique. No UTI was present. What is the code for this procedure? Michigan Subscriber Answer: The quick catheter indicates that the physician performed a straight catheterization. On the claim, report the following: - 51701 (Insertion of non-indwelling bladder catheter [e.g., straight catheterization for residual urine]) for the catheterization - 788.1 (Dysuria) and 625.9 (Unspecified symptom associated with female genital organs) appended to 51701 to represent the patient's symptoms.
ED Coding and Reimbursement Alert
- Get Pre-Removal Measurement to Maximize Excision Claims
Malignant lesion excisions reimburse at a higher rate than benign ones. If you code lesion [...] - Participate in PQRI to Share in Increased Bonus Payment
When physician doesn't meet measure, P modifier ensures compliance. ED providers who want to recoup [...] - Know Size, Area of Lesion Before Choosing Code
CPT breaks codes into 6 size categories. There are three categories for lesion removal coding, [...] - You Be the Coder:
Coding Multiple Laceration Repairs
Question: A patient who fell off a four-wheeler (all-terrain vehicle) while driving reports to the [...] - This List Guides You to ED-Relevant PQRI Measures
Here's why ERx should not be on your measures list. If you-re itching to participate [...] - Reader Questions:
Use Symptom ICD-9s to Explain 'Emergency'
Question: A mother brings her 6-year-old son into the ED on a Saturday afternoon; she [...] - Reader Questions:
Remember Both Parts of FAST Exam or Lose $$
Question: Encounter notes indicate the ED physician treated a patient with contusions to his chest [...] - Reader Questions:
Combo Codes Mark COPD With Other Conditions
Question: The ED physician treats a patient with shortness of breath and coughing. The ED [...] - Reader Questions:
Check Dwelling Status, Choose Correct Cath Code
Question: A female patient reports to the ED complaining of burning during urination and pelvic [...] - Reader Questions:
AMA Shuts Down 'Layer Closure' Repair Descriptor
Question: I have heard that there are some new codes for intermediate closure repairs in [...]
