tci General Surgery Coding Alert - 2007 Issue 5

You Be The Coder: What's the Dx for Asymptomatic Patient?

Question: Our surgeon recently treated two patients in the emergency department (ED) who were injured when their car veered off the highway. There was also a third passenger in the vehicle who was not hurt, but she was exposed to blood during the accident. The physician performed a level-two E/M service before releasing the non-injured patient. How can we prove medical necessity for the E/M service?North Carolina SubscriberAnswer: You may use a V code as a primary diagnosis because the patient is asymptomatic.On your claim:- report 99282 (Emergency department visit for the evaluation and management of a...

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