tci ED Coding & Reimbursement Alert - 2015 Issue 10

You Be the Coder: Be Alert For Chart Documentation To Determine The Correct Moderate Sedation Code

Question: HPI A 12 y.o. female presents to the ED via EMS complaining of fall and arm injury. The patient reports being at cheerleading practice this evening when she fell forward from the top of a 2-person-high pyramid. She landed on her outstretched arms, hearing and feeling a crack in her left arm. She did not hit her head or lose consciousness. On EMS arrival, the patient had a left arm deformity distal to left elbow. Her right arm was not deformed. She was put in splints and transferred to the hospital for further evaluation. In the ED...

To read the full article, sign in and subscribe to tci ED Coding & Reimbursement Alert.

Thank you for choosing Find-A-Code, please Sign In to remove ads.