tci ED Coding & Reimbursement Alert - 2010 Issue 5

Reader Questions: Use E-V Code Combo to Code 'Injury-Free' E/Ms

Question: A substantial number of people who report to our ED after auto accidents end up having no injuries. How do we code for these patients, without a definitive diagnosis?Tennessee SubscriberAnswer: You should append at least the following diagnosis codes to the E/M code to ensure that you'll be paid for these "injury-free" patients:V71.4 (Observation and evaluation for suspected conditions not found; observation following other accident) to represent the reason for the presentation the appropriate E code to represent the MVA For example, a 68-year-old patient reports to the ED after being the driver in a low-speed...

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