tci E/M Coding Alert - 2022 Issue Q1

Knowledge Check: Dial in Your Emergency Department Coding With These Scenarios

Hint: Distinguish between tests ordered and tests performed. Coding emergency department (ED) encounters can be pretty complicated because of all the balls at play: diagnostic tests, history of present illness (HPI) elements, and radiologic reviews, just to name a handful. Check out these three scenarios to get a better idea of how to navigate three common ED coding questions. FAQ 1: Do you count tests ordered, even if they were not performed? Question: Suppose a physician orders a diagnostic test, such as an electrocardiogram (EKG), but the patient refuses to undergo the test. Should the physician still get credit...

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