tci ED Coding & Reimbursement Alert - 2003 Issue 7

Use Only Physical Evidence to Determine Rape

It's a situation no healthcare professional wants to encounter, but the reality is, patients present to the ED saying they've been raped and your staff has to toe the line between medical diagnosis and legal determination without overstepping boundaries of fact. Help your physician and other involved persons by keeping the patient record as objectively coded as possible. Your physician determines the physical status of the patient, nothing more, nothing less, and choosing codes based on evidence can lead to seemingly heartless determinations for the victim or alleged perpetrator. But your job is to report a medical situation...

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