tci ED Coding & Reimbursement Alert - 2012 Issue 7

You Be the Coder: Choosing the Right Diagnosis Code for Sickle Cell Crisis

Question: A 35-year-old female presents to the ED with chest pain and a history of sickle cell disease. The ED physician ordered multiple labs including a CBC, CMP & PT/PTT/INR. The patient had a two-view chest x-ray that was read and interpreted by the ED physician. Narcotics and intravenous fluids were also administered to the patient during the course of care. A review of the medical record shows the following administration times:After successful pain control is achieved, the patient is discharged with a diagnosis of sickle cell disease with vaso-occlusive crisis and chest pain without evidence of acute chest...

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