tci ED Coding & Reimbursement Alert - 2013 Issue 1

You Be the Coder: Paronychia I&D With E/M

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 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 ED physician prepped the finger and made a...

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