tci ED Coding & Reimbursement Alert - 2011 Issue 6

Reader Questions: Leave Dental Codes Off Your ED Claim

Question: I have a puzzling claim in front of me. Notes indicate a patient reports to the ED after falling out of bed onto his face. He was vomiting and complaining of intense pain from a headache that he rated as 10 on a 10-point pain scale. The encounter notes indicate that the physician: "Ordered CT scan, Subluxed left front tooth pushed back into place."Amalgam made from dental kit, rolled to a doughy consistency then applied over the frontal teeth area splinted in a mouth-guard fashion with 2 adjacent teeth on each side.Amalgam allowed to dry."...

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