tci ED Coding & Reimbursement Alert - 2006 Issue 10

Complex Anterior Nosebleeds Require Extensive Packing, Documentation

You-ll need detailed notes from the physician to justify a  complex repair code When a patient presents to your ED with a nosebleed, you-ll have to pinpoint the extent of the treatment before deciding on the proper code. The answers you seek should show up in the op notes for the encounter, and your ED physician should be very specific about his actions and the methods he used to stop the bleeding.  Consider Reporting a Low-Level E/M While CPT has several codes to describe different types of nosebleed treatment, you-ll have to meet certain criteria to use them...

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