tci ED Coding & Reimbursement Alert - 2021 Issue Q2

Reader Questions: Pull the Trigger on This Trigger Finger Code

Question: The ED encounter notes indicate that the provider saw a patient for pain in her finger. After an E/M service that included low medical decision making (MDM) and an expanded problem focused history and exam, the provider diagnosed trigger finger. They then performed a tendon sheath injection to treat the injury. How should I code this encounter? Idaho Subscriber Answer: You should report 20550 (Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar “fascia”)) for the tendon sheath injection. Then report 99282 (Emergency department visit for the evaluation and management of a patient…) for the...

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