tci ED Coding & Reimbursement Alert - 2017 Issue 10

Reader Question: Adverse Effects May Prompt Additional Codes

Question: Our ED physician gave a theophylline prescription to a patient with asthma, but the next day, she came back to say that she had nausea, nervousness, an increased heart rate and a severe headache. The doctor examined her and determined that she was having side effects from the medication. Do we report the diagnosis code for the asthma, or for the side effects? Supercoder.com Subscriber Answer: You may need to code both, but first, check the doctor's notes to determine whether the patient took the medication properly, since poisoning would be coded differently than an adverse reaction...

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