tci ED Coding & Reimbursement Alert - 2005 Issue 8

You Be the Coder: Choose Burn Codes Carefully

Question: When coding for the professional side, when should I report burn codes? At our hospital, whenever someone comes into the ED with a burn the physician evaluates the injury and determines the required treatment, and if that includes debridement it's usually done by the physician.Massachusetts SubscriberAnswer: If your physician performs burn care and debridement, then code the service provided. But if the doctor did not directly perform the treatment, keep in mind that Medicare does not recognize the "incident-to" provision in the ED and may not feel that the doctor was directly involved to the extent to...

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