Wiki E/M question

[Zemka_zeta@yahoo.com]

Hello, i need to code - "RN reported that patient has a pain of rt hip and relived with tylenol. Xray to be completed today, will add small dose tramadol"
what E/M code should i put?
Patient is not present.

Thank you in advanced!

 

[mitchellde]

Hello, i need to code - "RN reported that patient has a pain of rt hip and relived with tylenol. Xray to be completed today, will add small dose tramadol"
what E/M code should i put?
Patient is not present.

Thank you in advanced!

There is no E&M that can be billed for this documentation. It appears that RN evaluated the patient and apparently ordered an X-ray, and the provider is now reporting this is what happened. This is not billable. An RN is not allowed to evaluate a patient for symptoms and determine a plan a of care.