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tci ED Coding & Reimbursement Alert - 1999 Issue 6

Use E Codes to Establish Medical Necessity, Fully Document Accidents and Injuries

When reporting accidental injuries, poisonings and late affects of injuries that are evaluated in the ED, coders should remember to use the supplemental E codes listed in ICD-9-CM, when appropriate, to fully document the medical justification for the ED visit.E codes are never listed as the primary diagnosis, because they only identify the circumstances of an accidental injury, states Jeri Leong, RN, CPC, a medical practice consultant and certified coding instructor in Honolulu, HI. But, the coder may use the E code, and often more than one E code, to fully describe circumstances or establish medical necessity.For...

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