tci ED Coding & Reimbursement Alert - 2008 Issue 1

Take 2 Steps Before Choosing Chest X-Ray Code

Most providers list dozens of diagnoses for chest examsWhen your ED physician performs multiple exams, you must prove medical necessity with solid ICD-9 coding and choose a modifier to indicate physician involvement, or risk claim rejection.We-ll make getting paid easy with this advice on coding single and multiple chest x-ray claims in the ED. Check LCDs for Covered X-Ray Diagnoses Patients who might require ED chest x-rays run the gamut, from accident victims to potential heart attack sufferers, says Stacy Gregory, RCC, CPC, from Tacoma, Wash.-based Gregory Medical Consulting Services. In addition to trauma patients, she lists...

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