Medicare Compliance & Reimbursement - 2009 Issue 5
READER QUESTIONS: Use V Code for Patient's Past Angioplasty
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Article Overview
This article answers a reader question about coding an emergency department encounter when a patient presents with chest pain and has a prior angioplasty in the history. It explains the general role of past-procedure history in the record and discusses the claim-level reporting of the visit, imaging service, diagnosis coding, and related modifiers in a chest-pain scenario. The article is aimed at coders and billing staff who handle ED evaluation and management services and diagnostic radiology claims.
Why This Topic Matters
Understanding how prior procedure history may be reflected on a claim can affect documentation completeness and the way an encounter is represented for emergency department and diagnostic imaging services.
What You Will Learn
- How a prior cardiac procedure history may be reflected in a chest-pain encounter
- How an emergency department visit and chest x-ray are discussed at a high level in coding terms
- How modifiers and diagnosis reporting are presented in the context of the claim
- What documentation elements are highlighted as relevant to medical decision making
Who Should Read This
- Medical coders
- Billing specialists
- Emergency department documentation staff
- Revenue cycle professionals
Codes Discussed
Modifiers Discussed
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