tci ED Coding & Reimbursement Alert - 2024 Issue Q3

Reader Questions: Choose E/M for Bruised Chest and Ribs Tx

Question: A new patient presents to the ED after falling from a balcony. The patient complains of pain in their right pectoral and rib area. During the examination, the ED physician notes that the area is tender to the touch and slightly swollen. The patient rates the pain as 6 on a scale of 10. The emergency physician orders a four-view X-ray including posteroanterior chest, which they interpret and confirm a right chest contusion and bruised ribs. The physician prescribes rest and nonsteroidal anti-inflammatory drugs (NSAIDs) and sends the patient home. How should I report this encounter? Can I...

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