tci ED Coding & Reimbursement Alert - 2015 Issue 2

You Be the Coder: Coding When ED Physician Calls In A Specialist

Question: A patient presents with a badly injured left ankle. During the course of a level 5 E/M, the ED physician diagnoses a dislocation of the ankle with some diminution of the pulses in the foot. The emergency physician promptly reduces the dislocation to restore blood flow to the foot and calls in an orthopedist, who continues to treat the fracture in the OR. How should I report this scenario? Missouri Subscriber Answer: You’ll be able to report an E/M code and a reduction code. However, since the orthopedist performed the definitive fracture care, you should not report...

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