tci ED Coding & Reimbursement Alert - 1999 Issue 11

Coding Clinic: Outpatient Diagnosis Coding Guidelines Haven't Kept Up with Reality of ED Practice

By Caral Edelberg, CPCECA Consulting EditorPresident, Medical Management Resources Inc, Jacksonville, FL A new field on the UB-92 billing form, used by hospitals to report claims, will go a long way to help emergency department (ED) coders.Hospital coders are traditionally trained to apply the most specific diagnosis available when reporting hospital charges. However, in the ED, it may be necessary to order many tests and perform many services to determine proper treatment for a patient. ED physician group coders have often been instructed to assign the ICD-9 code that indicates the patients signs and symptoms if these problems...

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