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Emergency Department Coding & Reimbursement Alert

You Be the Coder:

Look for Documentation of Catheter Use Before Coding Thoracentesis

Question: A patient with shortness of breath reports to the ED. The physician documents the pertinent historical information and performs an exam including auscultation of the lungs, which sound muffled.  Percussing the patient’s chest produces a dull “thud.” A chest X-ray interpreted by the emergency physician confirms the presence of a large pleural effusion. Based on the evaluation, the physician decides [...]

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