tci ED Coding & Reimbursement Alert - 2022 Issue Q3

Reader Questions: March on With Fracture Dx After Getting More Info

Question: Encounter notes indicate that the provider treated a patient with a “March fracture/arm,” during a level-three ED evaluation and management (E/M) service. How do I report this encounter? Indiana Subscriber Answer: The E/M is easy enough; report 99284 (Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: A detailed history; A examination; and Medical decision making of moderate complexity...). Things get more nebulous for the diagnosis code, however. A march fracture is the same as a stress fracture. Other terms that are considered synonymous with stress...

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