tci ED Coding & Reimbursement Alert - 2009 Issue 6

READER QUESTIONS: Check for E/M on Most ED Procedures

Question: A patient with osteoporosis reports to the ED complaining of wrist pain. The physician inspects the patient's wrist, diagnoses bursitis, and performs an arthrocentesis injection with 40 mg of Sano-Drol. Can I report a separate E/M in this scenario? Alabama SubscriberAnswer: Yes, you can report an E/M. Since patients do not report to the ED for scheduled procedures, the work the physician performs pre-procedure is almost always a separate E/M. In your scenario, the work the physician performs diagnosing the bursitis is considered a separate E/M. On the claim, report the following: - 20605 (Arthrocentesis, aspiration and/or injection...

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