tci ED Coding & Reimbursement Alert - 2013 Issue 8

Reader Question: Apply Reduced Services Modifier For Unsuccessful Procedures

Question: A patient came into the ED with a medial dislocation of his elbow. The physician tried to reduce the dislocation, but was unsuccessful. She did not use any anesthesia during the procedure. How should I report this encounter? Minnesota Subscriber Answer: If the physician unsuccessfully attempted to reduce the injury, you technically could report acode for a reduced service. On the claim: report 24600 (Treatment of closed elbow dislocation; without anesthesia) for the elbow reduction. attach ICD-9 code 832.03 (Dislocation of elbow; closed, medial dislocation of elbow) to show the reason for the reduction. [5th digit required]...

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