tci ED Coding & Reimbursement Alert - 2023 Issue Q4

Reader Questions: Use E/M for Broken Nose Tx Without Manipulation

Question: A patient presents to the ED with a bloody and bruised nose they suffered during a soccer match. The physician is able to stop the bleeding with nasal packing and gauze during the course of the evaluation and management (E/M) service. The ED physician orders and interprets a three-view nasal X-ray, then diagnoses a broken nose. The physician is able to treat the nose without manipulation. How should I report this encounter? I was going to report 21315 for the nose fix. AAPC Forum Participant Answer: You should not report 21315 (Closed treatment of nasal bone fracture with...

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