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tci Outpatient Facility Coding Alert - 2013 Issue 12

Reader Question: Don't Fret Over ICD-9 Procedure Codes ED Claims

Question: Should we be capturing ICD-9 procedure codes for ED facility coding? I understand it is not required; however, I’d like to get an idea of the standard practice among other hospitals. Virginia Subscriber Answer: These are special ICD-9 procedure codes, not diagnosis codes. They are different than the more common and ICD-9-CM diagnosis and CPT® codes. ICD-9 procedure codes are typically only applicable when the patient is assigned to inpatient status. Most hospitals don’t assign ICD-9 procedure codes to any procedure performed for a patient who is in an outpatient status (such as the ED) since...

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