tci ED Coding & Reimbursement Alert - 2007 Issue 6

Reader Questions: Code Post-MVA E/M Based on Physician Actions

Question: A mother reports to the ED with her 6-day-old son after a moderate motor vehicle accident. The mother wants the physician to check her son to make sure he has no injuries. The physician performs an expanded problem-focused history and, in an effort to screen for injuries, a very thorough detailed exam. During the evaluation, she runs no test and prescribes no drugs for treatment. However, the physician does counsel the patient's mother regarding a follow-up exam. What level of evaluation and management service should I report for this scenario?Oregon Subscriber Answer: You should check the notes...

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