tci ED Coding & Reimbursement Alert - 2012 Issue 6

Reader Question: Don't let head trauma coding give you a headache

Question: Is minor head trauma a "99282" as it does require a detailed history and physical to evaluate for any intracranial bleed? A "99282" to me is a simple rash that I am not doing very much for. Do they always need labs/x-rays to be a "99284"? Nebraska Subscriber Answer: A minor head trauma would likely score higher than a 99282. CPT® Appendix C examples for ED services offer some guidance to the question. 99283 - Emergency department visit for a healthy, young adult patient who sustained a blunt head injury with local swelling and bruising without subsequent confusion...

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