tci ED Coding & Reimbursement Alert - 2007 Issue 11

READER QUESTIONS: Mind Coding Conventions for Observations

Question: At 11 a.m. Wednesday, a patient reports to the ED complaining of lower back pain. Notes indicate that the physician performed a level-two observation service, during which she orders radiology tests, which come back showing lumbar spinal stenosis. A consultant performs an epidural steroid injection to alleviate the patient's pain. On Thursday morning, the patient reports that the pain is under control. The patient is discharged at 1 p.m. Thursday. What codes should I report for this encounter?Minnesota Subscriber Answer: You can report codes for the observation and the injection. On the claim, report the...

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