tci ED Coding & Reimbursement Alert - 2000 Issue 10

Reader Question: Fractured Coccyx

Question: If someone comes in with a fractured coccyx, should we enter the specific procedure code and the evaluation and management (E/M) code, or will the ICD-9 code and the E/M code suffice?Roslyn WeinsteinBeth Israel Medical Center, New YorkAnswer: The CPT codes for outpatient encounters communicate the services provided to the patient, and the ICD-9 codes communicate the reason (i.e., medical necessity) the services were performed. Under the ambulatory payment classifications (APCs), all provided services should be captured and reported with the appropriate CPT code for hospitals to receive full reimbursement. At the same time, to be...

To read the full article, sign in and subscribe to tci ED Coding & Reimbursement Alert.


You have ED coding questions, and we deliver money-in-the-bank answers to help you defeat your claim issues and secure optimal reimbursement.

Stay in the know and avoid federal reproach with your subscription to TCI’s ED Coding and Reimbursement Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 2100 articles
  • ALL years/issues back to 1998 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci ED Coding & Reimbursement Alert +Archives

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.