tci ED Coding & Reimbursement Alert - 2001 Issue 12

Rape and Assault Exams Require Attention to Detail

 It's a distressing fact in the life of emergency physicians: They occasionally see and treat victims of rape and assault. Because these cases often include a range of injuries, documentation is of the utmost importance to ensure that the proper procedure codes are assigned. Modifiers are also frequently used to explain to insurers why various combinations of services were medically necessary. Plus, diagnosis coding may be more complex than with other cases. Not only must the ICD-9 codes justify the procedures provided, but they also need to be clearly linked with relevant and distinct services. Finally, because...

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