tci ED Coding & Reimbursement Alert - 2010 Issue 5

Mythbusters: Eyeing That Procedure Code? Here's Some Advice on When to Choose an E/M Instead

These 3 scenarios all look like procedures, but 2 are actually E/Ms.Sometimes, encounter notes will play tricks on you in the ED: patients reporting with certain injuries might require services equaling a procedure code ... though some only require an E/M service.Sidestep coding quicksand and deliver the right claim on time, every time, with this expert input on walking the E/Mprocedure line in the following three scenarios.Myth 1: Wound Repair Wraps Up Laceration Fix Code Patients reporting to the ED with lacerations will typically require laceration repair -- though the service might not reach the procedure level...

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