tci ED Coding & Reimbursement Alert - 2007 Issue 10

READER QUESTIONS: Know the Difference Between Medial, Lateral Meniscus Tears

Question: A patient reports to the ED complaining of pain and swelling in her right knee. The ED physician diagnoses a meniscal tear during the course of a level- three E/M service and refers the patient to a specialist. How should I code this encounter?Oregon Subscriber Answer: A meniscal tear is a common injury involving torn knee cartilage. There are two types of tears, and you-ll need to go back and check the notes to see which type of tear this patient suffered before coding this scenario.Why? Your ICD-9 code choice depends on it.On the report...

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