tci ED Coding & Reimbursement Alert - 2017 Issue 3
You Be the Coder: Know Who Provided and Documented Each Service Before Assigning Codes
Question: How would you code this chart? We have some concerns about who provided/performed each of the procedures mentioned in the documentation. Louisiana Subscriber Patient is a 13-year-old male who presents to the emergency department with a chief complaint of an injury to his upper arm. HPI A 13- year-old otherwise heathy boy fell off his bicycle and injured his left forearm. He was riding his bike downhill when he hit a pothole in the road and fell off. He suffered an obvious deformity to his left forearm, but was otherwise unhurt he claims he did not hit his...
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