How would you select the ICD-9 and CPT codes for the procedural claim (encounter) for the ED visit?
Unit VIII Case Study

EHR Coding and Reimbursement

A 16-year-old female who has asthma has an Emergency Department visit for angina, shortness of breath, and wheezing. The doctor performs a chest x ray, breathing treatments, and a Nuclear Medicine Stress Test utilizing a treadmill while monitoring the patient’s heart palpitations. While the patient is in the ED, the doctor evaluates her asthma and changes her prescription medication. Review the chapter and consider the following

questions:

How would you select the ICD-9 and CPT codes for the procedural claim (encounter) for the ED visit?

What diagnosis and procedure codes will result in dull reimbursement for the procedures rendered?
How will the claim demonstrate the medical necessity for the exams?
HTH 2305


 

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