tci ED Coding & Reimbursement Alert - 2011 Issue 4

Reader Questions: Get Specific When Reviewing X-Ray Info

Question: A woman who fell on her unprotected side reports to the ED. The physician notes that the patient had "the beginnings of a contusion to her right abdominal wall upon reporting." During the examination, she reports shortness of breath, and says the pain is a 6 on a scale of 10. To rule out broken ribs, the physician orders a rib xray. The x-rays reveal no broken bones, so the physician orders the patient to rest a few days and prescribes painkillers. Final diagnosis is abdominal wall contusion, and notes indicate a level-three E/M in addition to...

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