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tci ED Coding & Reimbursement Alert - 2007 Issue 1
READER QUESTION ~ Be Wary of Suspect Injury Explanations
Question: A 6-year-old girl with a black eye reported to the ED. The physician's notes reflect that when the nurse questioned the child about how the injury happened, the mother spoke up before the girl could, saying that the girl had been hit in the face by a soccer ball. This didn't add up, though. If the physician group wants us to be on the lookout for cases of potential abuse and repeat/multiple visits, what are some of the codes we might look out for?California Subscriber Answer: It is possible that this child was a victim of physical...
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