tci ED Coding & Reimbursement Alert - 2006 Issue 6

Reader Questions: V Codes Represent Patient's Long-Term Meds

Question: A patient reported to the ED and received a level-two evaluation and management service. The patient file indicates that she is here due to effects from long-term current use of aspirin and steroids. How should I report the encounter if I want to note the steroid and aspirin use in the medical record?Michigan Subscriber Answer: You should report a pair of V codes in addition to the E/M code:  - report 99282 (Emergency department visit for the evaluation and management of a patient, which requires these three key components: an expanded problem-focused history; an expanded problem-focused...

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