Hello,
I graduated just this past July with my Associate's degree in medical billing and coding. I am going to be starting a position coding emergency department records and there are a few areas I feel my classes did not prepare me for adequately. I will be coding for the facility. My confusion lies in the use of E/M codes. For example, in the following case what, if any E/M codes would be required:
Physician notes:
Right index finger and Dorsum of middle phalanx - sensory/motor intact. Nail intact. All joints numbed w/ 1% lidocaine and the wound thoroughly scrubbed & irrigated. Wound edges sharp. No debridement necessary. Sutured w/ 2 interrupted sutures of 4-O nylon. D/C home. Recheck in 8-10. Keep clean & dry. Return if any evidence of infection or problem. Tylenol prn pain.
I am thinking there should be a facility E/M code. A procedure code for the suturing, but I am not sure if there is an E/M code required for the physician as well (assuming the physician is employed by the hospital).
Can anyone offer any guidance?
I graduated just this past July with my Associate's degree in medical billing and coding. I am going to be starting a position coding emergency department records and there are a few areas I feel my classes did not prepare me for adequately. I will be coding for the facility. My confusion lies in the use of E/M codes. For example, in the following case what, if any E/M codes would be required:
Physician notes:
Right index finger and Dorsum of middle phalanx - sensory/motor intact. Nail intact. All joints numbed w/ 1% lidocaine and the wound thoroughly scrubbed & irrigated. Wound edges sharp. No debridement necessary. Sutured w/ 2 interrupted sutures of 4-O nylon. D/C home. Recheck in 8-10. Keep clean & dry. Return if any evidence of infection or problem. Tylenol prn pain.
I am thinking there should be a facility E/M code. A procedure code for the suturing, but I am not sure if there is an E/M code required for the physician as well (assuming the physician is employed by the hospital).
Can anyone offer any guidance?