tci ED Coding & Reimbursement Alert - 2006 Issue 10

Reader Question ~ E/M Levels Vary for Migraine Patients

Question: What level of E/M service should I report when a patient reports to the ED for treatment of a migraine headache?Missouri Subscriber Answer: The answer will depend on the condition of the patient when she arrives and the actions the physician performs to treat the migraine. There is no automatic E/M level for patients who report with migraines. For example, if the patient has had frequent migraines, and reports to the ED for pain medicine or just an exam, you-d likely report either 99282 (Emergency department visit for the E/M of a patient, which requires these three...

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