tci ED Coding & Reimbursement Alert - 2022 Issue Q4
You Be the Coder: Coding CTs for Shoulder Cysts
Question: A patient reports to the ED complaining of left shoulder pain. The provider performs an evaluation and management (E/M) service that involves a detailed history, examination and moderate-complexity medical decision making (MDM). Based on the E/M, the provider orders a computed tomography (CT) on the patient’s shoulder with computed tomography (CT). Final diagnosis was solitary bone cyst, left shoulder. How should I report this encounter? Maine Subscriber Answer: On the claim, you’ll report: 73201 (Computed tomography, upper extremity; with contrast material(s)) for the CT scan 99284 (Emergency department visit for the evaluation and management of a...
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