Part B Insider - 2009 Issue 8
You Be the Coder :Coding Physician's H1N1 Flu Screen Service
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Article Overview
This article explains a coding scenario involving an emergency department patient evaluated for possible H1N1 flu and the related lab screening service. It is aimed at coders handling ED evaluation and management, laboratory billing distinctions, and diagnosis selection in the context of influenza screening and early H1N1-era guidance. The article also touches on how payers may direct diagnosis coding for confirmed cases.
Why This Topic Matters
It helps coders distinguish between professional and facility reporting in an ED setting and understand how the encounter may be documented and coded when influenza screening is ordered. It also provides context for diagnosis coding guidance that may vary by payer for emerging infectious diseases.
What You Will Learn
- How an emergency department influenza screening encounter is handled from a coding perspective
- How professional and facility billing may differ for a physician-ordered laboratory test
- What broad diagnosis coding considerations may apply to fever, screening, and confirmed influenza cases
- How payer guidance can affect diagnosis code selection for emerging infectious disease scenarios
Who Should Read This
- Medical coders
- Emergency department billing staff
- Revenue cycle personnel
- Clinical documentation specialists
Codes Discussed
Modifiers Discussed
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