tci ED Coding & Reimbursement Alert - 2022 Issue Q1

Reader Questions: Use 1 Code for Pneumonia With Flu

Question: We saw a 35-year-old patient who was complaining of flu-like symptoms that persisted for two to three weeks. The patient was experiencing a harsh cough with greenish-yellow mucus, shortness of breath, and a sharp pain when breathing deeply. While giving their history, the patient mentioned they had the flu earlier in the month. The ED physician listened to the patient’s lungs and documented they heard bubbling sounds during inhalation. The physician ordered pulse oximetry and a sputum test, after which they diagnosed the patient with pneumonia due to the flu. Which diagnosis codes should we report? Tennessee...

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