tci ED Coding & Reimbursement Alert - 2024 Issue Q3

Reader Questions: Don’t Combine Chest Pain, SOB Symptoms

Question: A patient reports to the ED with chest pain and shortness of breath (SOB). I was going to report R07.1 (Chest pain on breathing) as a diagnosis. Is this correct, as it indicates both the chest pain and breathing issues? AAPC Forum Subscriber Answer: Though it does address the chest pain and breathing issues, it isn’t the diagnosis code you’ll want for this patient. In fact, you’ll need a pair of diagnosis codes for this patient’s symptoms. On the claim, report: R07.9 (Chest pain, unspecified) for the chest pain R06.02 (Shortness...

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