tci Part B Insider - 2010 Issue 40

Reader Questions: Look for Local Treatment to Report Sunburn Pay

Question: A patient presented to our office with swelling and minor blisters on the tops of his feet. The doctor diagnosed sunburn and treated it with a cold, wet compress on the area. He discussed several factors with the patient (the sunburn, expected progression, proper treatment, pain management, prevention). Should I use an E/M code for the burn treatment?Answer: Because the burn care involved treatment, you can report 16000 (Initial treatment, first degree burn, when no more than local treatment is required) for the service. You can also report an E/M code if the physician's documentation supports a...

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