tci ED Coding & Reimbursement Alert - 2003 Issue 2

Reader Question: Multi Trauma Visits Require High Decision-Making

Question: Patients with multiple trauma from a fall or motor-vehicle accident arrive by ambulance and require several x-rays (four or more) and CAT scans. Both the emergency physician and the radiologist review the tests. In addition, the patients require a complete physical exam and some labs. How should I factor this data in to "complexity of data reviewed"? Should I consider this data extensive or moderate? Virginia SubscriberAnswer: If you use the Marshfield Clinic Audit Tool, you would get 1 point for ordering labs, 1 point for ordering x-rays, and 2 points for direct visualization, totaling 4 points. That...

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