tci ED Coding & Reimbursement Alert - 2007 Issue 1

YOU BE THE CODER ~ Chronic Conditions in the ED

Question: A patient with type II diabetes reported to the ED complaining of a severe headache and neck pain. The physician performed a level-four evaluation and management service, including a CT scan and a check of blood sugar, prescribed some pain medication, gave the patient a dose of glucophage because he had missed his morning pill, and sent him home. Should we include a diagnosis code for diabetes?Missouri SubscriberAnswer: It depends on the situation. Diabetes is a chronic condition, and you should only report ICD-9 codes for chronic conditions when they are relevant to the service the physician...

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