tci ED Coding & Reimbursement Alert - 2000 Issue 11

Reader Question: ED Nurses

Question: I understand we should add all procedures that are currently on the physicians charge master to the facilitys charge master with associated charges. Should we also add procedures commonly performed by emergency department (ED) nurses, such as earwax removal, catheterizations, etc.?Sandy ColsonAlbuquerque, N.M.Answer: All procedures performed in the facility on an outpatient basis should be captured through assignment of a code, either by medical records coders or via the charge master, says Kathy Zmuda, CPC, lead inpatient coder, Cigna Health Care of Arizona, Phoenix. This includes procedures normally performed by ED nurses, such as removal...

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