tci ED Coding & Reimbursement Alert - 2011 Issue 5

Reader Questions: Leave Pediatric Codes Off Your CC Claim

Question:A father brings his 6-year-old child to the ED; according to encounter notes, the emergency medical technician said the patient had been "seizing for @least 30 min."During the history portion of the E/M, the physician discovers the child has a history of seizure disorders and the parents administered rectal valium without relief before dialing 911. The EMT administered intravenous lorazepam before driving the patient to the hospital. The patient required intubation secondary to respiratory failure, so the physician administered a propofol infusion for sedation and to control the seizures. The ED physician consults with a pediatrician, and the...

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