Wiki Urgent Care-FALLS

[kellyobenour@yahoo.com]

Since there is not an Urgent Care specific forum, this is the next closest place

In Urgent Care billing, how would you code a child who comes in with parent, to be "checked out" after a fall, but is completely normal upon physical exam? Not crying. No bumps/lumps/bruising, NOTHING.

W Codes, for falls, cannot be billed as sole and/or primary DX.

So, what would you code, in addition to the fall?

Z04.3? (Encounter for examination and observation following other accident) ? However, this is most likely to be denied, right?

 

[nmvillegas5]

reason for visit is fall

I use the observation code as this is the reason he/she was brought to the ED there are no complaints no injury signs or symptoms, right?

 

[mitchellde]

why would you think it would be denied? As long as you sequence the Z04.3 code first and the W code for the fall secondary there is no reason to think that this combination would not support an urgent care or ER encounter.