tci ED Coding & Reimbursement Alert - 2007 Issue 12

You Be the Coder: Coding When ED Physician Calls on Specialist

Question: A patient presents with a badly injured left ankle. During the course of a level-four E/M, the ED physician diagnoses a fracture dislocation of the ankle with some diminution of the pulses in the foot. The ED physician promptly reduces the dislocation to restore blood flow to the foot and calls in an orthopedist, who continues to treat the fracture in the OR. How should I report this scenario? Missouri Subscriber         Answer: You will be able to report an E/M code and a reduction code. Since the orthopedist performed the definitive fracture care, you...

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