tci Outpatient Facility Coding Alert - 2016 Issue 7

You Be the Coder: Here's How to Stop Posterior Nasal Bleeding

Question: A patient with liver disease came to the emergency department. His nose had been bleeding for hours, even after applying pressure. The patient had no other bleeding or bruising. The physician inspected the nasal mucosa and saw much less anterior bleeding and a large amount of posterior bleeding from the nasal vestibule. The lab report confirmed underlying coagulopathy. How do we report this? Ohio Subscriber Answer: Report this situation with 30905 (Control nasal hemorrhage, posterior, with posterior nasal packs and/or cautery, any method; initial) for the posterior nosebleed treatment. You also need to report an E/M code...

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