tci ED Coding & Reimbursement Alert - 2006 Issue 11

Reader Question: Look to 'Artificial Menopause' for Estrogen Withdrawal

Question:A patient who had a hysterectomy earlier this year reported to the ED for treatment. The op notes indicate that the patient was suffering from -estrogen withdrawal with menopausal symptoms.- The physician performed a level-three evaluation and management service on the patient. Which diagnosis code(s) should I use on the claim?Nebraska Subscriber Answer: You should report a pair of ICD-9 codes for the encounter -- one for the patient's chief complaint, and another to show she is a hysterectomy patient.On the claim,- report 99283 (Emergency department visit for the evaluation and management of a patient...

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