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ED Coding and Reimbursement Alert

READER QUESTIONS:

Dislocation Earns More Than E/M

Published on Sat Nov 26, 2005

Question: A patient recently presented in the ED with a dislocated shoulder. The ED physician returned his shoulder to the correct position using 10-pound weights. Is there a specific code I can report for this, or should I just include it in the E/M service?


Virginia Subscriber
Answer: You don't have to roll this work into the evaluation and management code--instead, you should report it with a code for treatment of shoulder dislocation if the physician has provided you enough documentation.

The correct code is 23650 (Closed treatment of shoulder dislocation, with manipulation; without anesthesia). If you don't have enough documentation, you should query the doctor.
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