tci ED Coding & Reimbursement Alert - 2009 Issue 4

Reader Questions: Check Notes Before Separating E/M, Injection

Question: A patient with carpal tunnel syndrome (CTS) in her right wrist reports to the ED; she says even though she has kept the wrist in a short splint and attended physical therapy, it still "hurts bad" -- specifically that her hand is tingling, her wrist hurts constantly, and she has trouble using her fingers. After performing a problem focused history and an expanded problem focused exam, the ED physician decides to perform a carpal tunnel injection (CTI). He injects 40 mg of Depo-Medrol, puts the wrist back in the splint and sends the patient home. How do I...

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