tci ED Coding & Reimbursement Alert - 2007 Issue 6

Reader Questions: If Same Problem Prompts Both, Report Same Diagnosis for E/M, Procedure

Question: Our ED physician treated a patient with a pressure ulcer on the back of her head. After performing a level-two evaluation and management service, the physician diagnosed the ulcer, then performed partial- thickness debridement on the wound. How should I report this encounter?Mississippi Subscriber  Answer: You-ll be able to code for an E/M and a debridement in this instance: - report 11040 (Debridement; skin, partial thickness) for the debridement. - attach 707.09 (Decubitus ulcer; other site) to 11040 to represent the patient's ulcer. - report 99282 (Emergency department visit for the evaluation and...

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