tci ED Coding & Reimbursement Alert - 2022 Issue Q3

Reader Questions: Get More Info Before Coding This ECG

Question: Encounter notes indicate that the physician performed a level-five ED evaluation and management (E/M) service for a patient complaining of chest pain. They then performed an electrocardiogram (ECG) and diagnosed the patient with ‘nodal rhythm disorder.’ How should I report this encounter? Ohio Subscriber Answer: The E/M and ICD-10 code are easy enough to assign for this encounter. Report 99285 (Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: A complete history; A complete examination; and Medical decision making of high complexity…) with I49.8 (Other specified...

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