tci ED Coding & Reimbursement Alert - 2022 Issue Q3

Reader Questions: Contrast Smarts Will Keep Your MRI Claim From Coming Back

Question: The provider performed an ED evaluation and management (E/M) service for a patient who was suffering from back pain. The E/M featured a detailed history, a detailed examination, and moderate-complexity medical decision making (MDM). The provider also performed a magnetic resonance imaging (MRI) with contrast materials to pinpoint the problem. Final diagnosis was “discitis multi regions.” How should I report this encounter? Do I need to report the back pain and the discitis? Wisconsin Subscriber Answer: You do not have to report the back pain, since the provider reached a diagnosis by the end of the...

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