tci ED Coding & Reimbursement Alert - 2016 Issue 1

You Be the Coder: Don't Get Paranoid Over a Paronychia Procedure with an E/M Code

Question: I have a question regarding whether to apply both the E/M code and the procedure code for a service performed by the ED physician.  The documentation records that a father brought his son in for a swollen finger with pus draining from where it had been punctured. The physician performed an examination which revealed swelling along the radial aspect of the right index fingernail fold into the base of the nail. The volar pad was soft, with no swelling or inflammation proximal to the DIP joint. The rest of the right hand and arm were also examined...

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