tci ED Coding & Reimbursement Alert - 2009 Issue 14

READER QUESTIONS: Consider Some 'Consults' Part of Pre-Op E/M

Question: My ED physician treats a patient with a severely deformed and injured left clavicle. He performs a level-four E/M, during which he orders x-rays that confirm a closed significantly displaced acromial clavicular fracture. The ED physician consults with an orthopedist, and she recommends closed treatment, a sling, and hospital admission for overnight observation.The physician administers a shot of morphine, then performs closed treatment without manipulation and puts the shoulder in a sling. The physician offers overnight hospital admission for monitoring, but the patient refuses. So the physician releases the patient after helping him schedule a follow-up with...

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