tci ED Coding & Reimbursement Alert - 2010 Issue 12

Reader Questions: Anemia Could Lead to H1N1 Admin

Question: A 48-year-old female, fearing she has H1N1, reports to the ED complaining of weakness and fatigue; she rates her fatigue at 8 on a scale of 10, saying "I can barely get out of bed." After a levelthree E/M that includes a rapid screen, the physician determines the patient does not have H1N1, but is suffering from chronic iron deficiency anemia due to heavy, excessive bleeding associated with uterine fibroids. The patient requests an H1N1 vaccination, which the nurse provides. How should I code this encounter? Answer: You'll report an E/M for the physician's services and the...

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