tci ED Coding & Reimbursement Alert - 2006 Issue 12

YOU BE THE CODER ~ Coding for Asymptomatic Patients

Question: Our ED recently treated two patients that sustained injuries when their car veered off the highway. There was also a third passenger in the vehicle that was not hurt, but she was exposed to blood during the accident. The physician performed a level 2 evaluation and management (E/M) service before releasing the non-injured patient. How can we prove medical necessity for the E/M service?North Carolina SubscriberAnswer: You  may use a V code as a primary diagnosis since the patient is asymptomatic. On your claim,:- report 99282 ( Emergency department visit for the evaluation and management of...

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