tci ED Coding & Reimbursement Alert - 2010 Issue 8

Reader Questions: Use ICD-9 Smarts to Make Hematuria Dx Choice Simple

Question: A patient reports to the ED complaining of severe stomach pain and trouble urinating; he says it's been "almost two days" since he could urinate without "9 out of 10" pain. The ED physician orders a urinalysis, finds blood in the urine, and refers the patient to a urologist for further care. What ICD-9 codes should I use to report this scenario?South Carolina SubscriberAnswer: The physician diagnosed the patient with hematuria, but you'll have to do some more digging to arrive at the most accurate diagnosis code. On the claim, report the appropriate-level ED E/M code based...

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