tci ED Coding & Reimbursement Alert - 2023 Issue Q4

Reader Questions: Get More Info Before Coding Serous Otitis Media

Question: Encounter notes indicate that during a level-three ED evaluation and management (E/M) service, the ED physician diagnosed acute serous otitis media. How should I code this encounter? Oklahoma Subscriber Answer: First, report 99283 (Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and low level of medical decision making) for the E/M service. ICD-10 coding gets a little trickier, though. Do this: Go back into the notes and see if you can get answers to these questions: Which ear is affected (left, right, unspecified, both)? Is the condition...

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