Bonnie Posted Wed 12th of September, 2012 20:35:33 PM
The scenario is in regards to an EM level assignment for an ED physician. In regards to the table of risk, what level of management option would be indicated when patient receives IM injection ie tetnus. Would administration of injection be considered a low or moderate management option?
Thanks so much.
SuperCoder Answered Fri 14th of September, 2012 20:47:07 PM
We will get back to you on this soon.
SuperCoder Answered Tue 18th of September, 2012 11:28:33 AM
I'm so sorry for the delay in answering this. I needed to do a bit of research to be sure I was on the right track.
Assuming the injection is not preventative, and is for treatment along with an injury, for example (which I assume is the case since you said ED physician), the you would give credit in the risk table for the IM injection in the table of risk. Vaccination is minor surgery with no identified risk factors so this counts as low risk.
I hope that helps.
Leesa A. Israel, BA, CPC, CUC, CMBS
Executive Editor, The Coding Institute
Manager, TCI Consulting & Revenue Cycle Solutions