tci E/M Coding Alert - 2016 Issue 4

You Be the Coder: Choosing Acute or Chronic Dx

Question: For diagnosis coding purposes, what is the difference between acute and chronic pain? Notes indicate that the physician performed a level-three E/M service for an established patient with complaints of severe pain. I don’t know how to report the ICD-10 code for the patient’s pain. Can you help me select the proper ICD-10 code for this encounter? West Virginia Subscriber Answer: You’ll have to get answers to a few more questions before deciding which ICD-10 code to report with 99213 (Office or other outpatient visit for the evaluation and management of an established patient, which...

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