tci ED Coding & Reimbursement Alert - 2007 Issue 11
READER QUESTIONS: Mother's Milk Making Baby Sick? Check Drug Reaction Codes
Question: A mother who is taking Flexeril brings her 1-month-old child into the ED. The patient breast-feeds the child, and the mother is concerned about the drug affecting her baby, who is sleepy, easily aroused and cries easily. The physician performs a level-two E/M service and sends them home. What diagnosis code should I use for this patient?New Mexico Subscriber Answer: You should probably check the encounter notes to see if the physician indicates the baby was having a Flexeril reaction. If so, report 99282 (Emergency department visit for the evaluation and management of a patient, which requires...
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