tci E/M Coding Alert - 2023 Issue Q2

Diagnosis Focus: Note the Use of Thompson Test Amidst ED E/M

Tip: Ensure documentation explains X-Ray, MRI usage. A patient who ruptures their Achilles tendon may show up in an emergency department (ED) to receive care — and a diagnosis. While the ED physician probably wouldn’t be involved in a surgery to repair the injury, they may provide a diagnosis before sending the patient to another provider. The diagnosis process may involve a Thompson test. Look for Thompson Test as Part of E/M Service When a patient has a suspected ruptured Achilles, they will typically report pain in the back of their ankle/calf area, often from a traumatic injury...

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