tci ED Coding & Reimbursement Alert - 2004 Issue 5

Reader Question: Cover Your Bases With Poisoning

Question: A patient who had apparently attempted suicide by ingesting multiple medications presented to the emergency department. Which code should I report, and are there E codes for this situation?Kentucky Subscriber Answer: In this case, you should report the appropriate ED E/M code (99281-99285) and add to that any separately billable procedures your ED physician performed, such as 91105 (Gastric intubation, and aspiration or lavage for treatment [e.g., for ingested poisons]).You will also need to report an E code to describe the suicide attempt. See the E950.x series (Suicide and self-inflicted poisoning by solid or...

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