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Orthopedic Coding Alert

You Be the Coder:

Put Effusion Confusion to Rest

Question: During the course of a level-four evaluation and management (E/M) service for a new patient, the provider notes "shoulder and hip effusion, right-sided. Also knee effusion." How many diagnosis codes do I need for this encounter, and what exactly is "effusion"? Florida Subscriber Answer: You'll need three diagnosis codes to represent all the diagnoses for this 99204 (Office or other outpatient [...]