tci ED Coding & Reimbursement Alert - 2008 Issue 11

Reader Questions: Paint Fullest Picture Possible With ICD-9s

Question: A patient presents with a headache and severe vomiting. After a non-automated urinalysis without microscopy, the physician diagnoses gastroenteritis. Notes indicate a level-three E/M service. Should I report all three diagnosis codes, or just one for gastroenteritis? Nebraska Subscriber Answer: If all three symptoms were present in the patient during the ED visit, you should report all three -- but remember that ED practices do not code for the urinalysis, only the E/M. On the claim, report the following: - 99283 (Emergency department visit for the evaluation and management of a patient, which requires these three key components:...

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