tci Outpatient Facility Coding Alert - 2016 Issue 7

Reader Question: Focus on the Type Before Coding Sunburn Treatment

Question: Our physician treated a two-year-old patient with a bad sunburn. How do we code this? Georgia Subscriber Answer: You have to dig through the documentation to see what type of burn the child had and what treatment your physician provided. Generally, most of the pediatric sunburn cases merit E/M codes. Example: A seven-year-old boy complains of sunburn after floating in the pool for long hours while on vacation. The physician examines the child and thinks the burn is superficial and will naturally heal in a few days. She prescribes an aloe vera gel and advises the patient to...

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