tci ED Coding & Reimbursement Alert - 2007 Issue 9

Reader Questions: Choose Reduction Code After Answering Anesthesia Question

Question: A man with a severely swollen left elbow reports to the ED. During a level-three evaluation and management service, the physician diagnoses a closed left elbow dislocation. The physician then reduces the joint, and the procedure says under anesthesia. How should I code this case? Missouri SubscriberAnswer: You-ll be able to report one CPT code for the dislocation reduction and an E/M service. On the claim, report the following codes: - 24600 (Treatment of closed elbow dislocation; without anesthesia). The AMA has made clear that the procedural terms with anesthesia refer to those procedures performed in the operating...

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