tci Part B Insider - 2010 Issue 7

READER QUESTION: Two Codes Are Too Many When Treating Two-Sided Nosebleeds

Keep bilateral procedure guidelines in mind when you're dealing with bleeding conditions affecting both nostrils. Question: An established patient reports to the family physician after sustaining injuries during a soccer match. A ball hit her in the face. Her nose is bleeding, and her right eye is blackened. The physician is not able to stop the bleeding with ice or pressure, so she performs repeated and extensive cautery using a silver nitrate stick on both nostrils. The bleeding relents, and the physician orders an x-ray to ensure that the patient's nose is not broken. Results are negative. Notes indicate...

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