tci ED Coding & Reimbursement Alert - 2020 Issue Q2

Reader Question: How Should You Code Heat, Ice?

Question: A patient came into the ED with an injured arm, and the provider gave him an ice pack at first to reduce swelling. Then later in the visit, he gave the patient a hot pack to relax the muscle. Application of both the cold pack and the hot pack is coded as 97010, so can we bill this code twice? Maryland Subscriber Answer: Unfortunately, you can’t. Because the definition for 97010 (Application of a modality to 1 or more areas; hot or cold packs) includes the application of both hot and cold packs to one or more...

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