tci ED Coding & Reimbursement Alert - 2006 Issue 11

You Be the Coder: Can You Report a Separate E/M With Thrombolysis?

Question: A patient complaining of chest pain reported to the ED. The physician performed critical care services for 32 minutes and diagnosed acute myocardial infarction. She then performed an intubation and coronary thrombolysis via intravenous delivery. How should I code this encounter?Mississippi Subscriber Answer: You-ll use three CPT codes and a pair of ICD-9 codes for this scenario. On the claim,- report 92977 (Thrombolysis, coronary; by intravenous infusion) for the thrombolysis.- report 31500 (Intubation, endotracheal, emergency procedure) for the intubation.- attach 410.01 (Acute myocardial infarction; of anterolateral wall; initial episode of care) to 92977...

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