tci ED Coding & Reimbursement Alert - 2019 Issue Q4

Reader Question: Get Specific When It Comes to Pain Dx

Question: We saw a patient in the ED with right upper abdominal pain but after testing, the physician didn’t diagnose her with any conditions and the pain eventually subsided. We released the patient and asked her to follow up with her family physician in case she had any further issues. Which diagnosis code can we report? Oklahoma Subscriber Answer: In this situation, your first step toward assigning diagnosis codes is to start with the choices for pain or tenderness in the upper right abdominal quadrant: R10.11, Right upper quadrant pain R10.811, Right upper quadrant...

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