tci ED Coding & Reimbursement Alert - 2001 Issue 4

You Be the Coder: Nasal Bone Fracture

Question: An ED patient fell and broke his nose because he lost consciousness (syncope). Can we bill the broken nose as 21315 (closed treatment of nasal bone fracture; without stabilization) in addition to the E/M visit? Edward LaneKino Community Hospital, Tucson, Ariz.Test your coding knowledge. Determine how you would code this situation before looking at the box below for the answer.Answer: In this case, its certainly appropriate to code for an E/M level because the physician will have to determine why the person passed out. Depending on the documentation, you could possibly code a level four (99284)...

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