tci ED Coding & Reimbursement Alert - 2000 Issue 1

Clarification: Evaluation of Patient With Hip Injury Complicated by Hypertension Might be Higher than Level 4 E/M

In the October 1999 ED Coding Alert, the article E/M Coding Clinic: Correctly Reporting 99283 vs. 99284 Means Understanding the History and Physical, page 7, contained a confusing clinical example in the last section. In that paragraph, we detail the case of a patient who has fallen and is suffering from hip pain. The patient also has uncontrolled hypertension.In the article Pat Moore, vice president for reimbursement for Healthcare Business Resources Inc., an emergency medicine billing company in Durham, N.C., states: The hip pain may be a fracture, and there may be a bleed in patients with...

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