tci ED Coding & Reimbursement Alert - 2020 Issue Q3

You Be the Coder: Keep Modifiers in Mind for Multiple Injuries

Question: A 20-year-old patient reported to the ED with right knee and thigh pain. During an E/M service, the physician examined the patient, and recommended ice and nonsteroidal anti-inflammatory drugs (NSAIDs) for the patient’s thigh. For the knee injury, notes indicate that the E/M led to an aspiration without ultrasound to relieve the patient’s pain. How should I code this encounter? Supercoder Subscriber Answer: You’ll likely be able to report an E/M and a procedure code, but you’ll probably need some help from a pair of modifiers. Why? The best way to prove these are...

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