Question - Occasionally we have patients who come to ER and are seen by nursing staff (for triage) but end up leaving before being seen by the MD. The Business Office wants to charge minimal triage/facility charge for these but in order to bill this there needs to be an ICD-9-CM Code to go on the claim. From a coding perspecitve, I am not sure how we would do this and still follow the Official Coding Guidelines because we cannot DX Code from nursing documentation. Wondering if others have come across this or have you just decided that you keep that documentation for record/risk purposes but do not charge anything is there isnt any documentation to code from?