tci ED Coding & Reimbursement Alert - 2004 Issue 7

Bone Up on Diagnosis Coding for Acute Chest Syndrome

Signs-and-symptoms coding holds key to solid claims If your ED physician diagnoses a sickle-cell patient with acute chest syndrome (ACS, 517.3), you'll need to know how to code initial exams, such as x-rays and bone scans, along with signs and symptoms. 1. Understand Initial Exams With Coding Scenario Although ACS strikes many sickle-cell patients, the physician may run a variety of tests to ensure the patient doesn't have another respiratory problem, such as pneumonia (480.x, Viral pneumonia).Example: A sickle-cell disease (282.6x) patient presents to the ED with shortness of breath (786.05), chest pain (786...

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