ED Coding and Reimbursement Alert

You Be the Coder:

Check for Catheter Use Before Coding Thoracentesis

Question: A patient with shortness of breath reports to the ED. The physician obtains pertinent historical information and performs an exam, including auscultation of the lungs, which sound muffled.  He then taps on the patient’s chest and notes a dull “thud.” A chest X-ray confirms the presence of a large pleural effusion. Notes substantiate a level-four E/M. Based on the evaluation, [...]
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