tci ED Coding & Reimbursement Alert - 2010 Issue 10

Reader Questions: Opt for Symptoms on 'Worried Well Check'

Question: A mother brought her child to our ED because her 8-month-old daughter was "acting sick" by screaming constantly. The only symptoms the physician charted were runny nose and  constant screaming crying and fussiness. Notes indicate a level-one E/M service. The physician told me to code the diagnosis as "worried well check," but I'm not sure. What's the best option? Texas SubscriberAnswer: The diagnosis code you should use in addition to 99281 (Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: a problem focused history; a problem focused  examination; and...

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