tci ED Coding & Reimbursement Alert - 2002 Issue 10

Seek Out Signs and Symptoms to Maximize Reimbursement

Signs and symptoms codes can help classify a visit when no distinct diagnosis can be made, and they may boost reimbursement by increasing the level of decision-making for E/M visits.Sometimes Signs/Symptoms Codes Are Best Bet ICD-9 codes should be used to describe a diagnosis, symptom, complaint, condition or problem that caused the patient to seek/require medical care. Although claims adjusters are trained to look for a specific diagnosis, a patient visiting the ED often has a complaint that cannot be diagnosed right away. When no specific diagnosis is available to the emergency physician, the ICD-9 signs and symptoms...

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