tci E/M Coding Alert - 2019 Issue Q3

You Be the Coder: Go Beyond E/M to Capture This FBR, Epistaxis Service

Question: Our provider just saw an established patient with a nosebleed. The patient’s mother explained that the bleed started the day before, and that they had managed to stop it temporarily using compression. As the bleed returned later, the mother decided to bring the child in, and after an examination of the child’s nose, our provider found a small pebble lodged in the child’s left nostril. After removing the pebble with forceps, our pediatrician then packed the child’s nostril with gauze, which stopped the bleeding. Should we report this as just an E/M visit, or...

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