tci ED Coding & Reimbursement Alert - 2006 Issue 6

Reader Questions: When Baby Spits Up, Foreign-Body Diagnosis Not Always Accurate

Question: A mother presents with her newborn baby and says she is concerned about the baby -choking,- or spitting up frequently after she has been fed. The physician performs a level-two evaluation and management service on the newborn. What diagnosis code should I use? I was thinking 933.1, but this code does not seem very accurate.Oregon Subscriber Answer: Choosing 933.1 (Foreign body in pharynx and larynx; larynx) should have given you pause because there is a diagnosis code that better represents this patient's condition. On the claim, - report 99282 (Emergency department visit...

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