tci ED Coding & Reimbursement Alert - 2010 Issue 15

READER QUESTIONS: 2 Codes Not the Answer on 2-Sided Nosebleeds

Question: A patient reports to the ED after sustaining injuries during a soccer match; she was hit in the face with a ball, her nose is bleeding, and her right eye is blackened. The physician is not able to stop the bleeding with ice or pressure, so she performs repeated and extensive cautery using a silver nitrate stick on both nostrils. The bleeding relents, and the physician orders an x-ray to ensure that the patient's nose is not broken. Results are negative. Notes indicate a level-four E/M. Can I report 30903 x 2, since the physician stopped bleeding in...

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