tci E/M Coding Alert - 2024 Issue Q1

You Be the Coder: Find Solution for Nursemaid Elbow

Question: A 8-year-old boy presented with a dislocated right elbow. After examination, the pediatrician confirms the dislocation and gently moved the bone and ligaments back into place. How do I code this encounter? Since the procedure was performed on the same day — does that mean I should append modifier 57 too? Texas Subscriber Answer: You’ll need a diagnosis code, procedure code, and possibly a modifier. Here’s how you can arrive at the correct coding for this encounter. Assigning a diagnosis code in this situation is relatively straightforward, as the ICD-10-CM index and the code descriptor both...

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