tci ED Coding & Reimbursement Alert - 2006 Issue 2

READER QUESTIONS: No Time Frame for Late Effect Codes

Question: A patient fell five weeks ago, and now presents in the ED complaining of chest pain. The physician doesn't know whether the pain is associated with the fall, and the patient never received treatment for the fall. Should we report the appropriate E code on the current admission documentation? Is there a relevant time frame for this?Iowa Subscriber Answer: You shouldn't report a current E code unless the doctor specifically indicated that the chest pain resulted from the prior fall. Because the physician doesn't know, your best bet is to report the chest pain diagnosis (along with...

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