tci ED Coding & Reimbursement Alert - 2007 Issue 3

READER QUESTION ~ Use This Diagnosis for Asthma With Croup

Question: A patient with a history of asthma who is now taking Albuterol reports to the ED with a barking cough. The physician performs a level-three evaluation and management service, notes a -croupy-sounding cough- and gives a final diagnosis of asthma. In this scenario, what ICD-9 code (or codes) should I report?Michigan SubscriberAnswer: You should choose a diagnosis code that reflects the patient's asthma and the croupy sounds. ICD-9 does contain a diagnosis code that represents both. On the claim:- report 99283 (Emergency department visit for the evaluation and management of a patient, which requires these three key...

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