tci ED Coding & Reimbursement Alert - 2010 Issue 12
You Be the Coder: Laceration Repair or E/M?
Question: A patient reports to the ED with a laceration just above his right eyebrow; he reports that he fell and hit his head while skateboarding. During an expanded problem focused history and examination, the patient reports that he was knocked to the ground, but reports no loss of consciousness. The nonphysician practitioner (NPP) notes that the patient "does not reveal any concussive symptoms." Using butterfly strips, the physician closes the patient's 0.8 cm laceration, prescribes rest and Tylenol, and instructs the patient to follow up with his primary care physician (PCP) if the wound gets worse...
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