tci E/M Coding Alert - 2017 Issue 11

Reader Question: Correctly Handle an Injection Due to E/M Encounter

Question: The physician saw a 24-year-old new female patient for complaints of high fever, vomiting, pain and burning sensation during urination, and radiating pain along the flank and back. The physician evaluated the patient and arrived at a diagnosis of acute pyelonephritis. He decided to administer cefazolin sodium to help bring the infection under control. What codes should we report? Colorado Subscriber Answer: In this case, the physician administers an injection to alleviate the problem that the patient is facing. So, the reason for your physician administering the injection is directly related to the reason for the office visit...

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