Nyla Posted Fri 11th of December, 2009 20:22:42 PM
Patient shows up with mouth pain in the ER. Diagnosis is periodontal disease with possible abcess. Instead of going to a dentist, he comes in the ER. Treatment: He was only given antibiotic and tylenol and sent home. What would this be coded under for ICD9 and CPT? I am new to coding. Please help.
SuperCoder Answered Mon 14th of December, 2009 13:49:30 PM
ED codes are assigned based on the levels of history, examination and medical decision making like other E&M Codes (except those that take into account other components, e.g. time in case of critical care). Based on the info you have given I will go for 99282 with Dx code 523.9.
Pat Answered Fri 22nd of January, 2010 17:48:45 PM
For ED if he was given a home pack RX and in house antibiotic (po or IV ?) it could go to a level 3 if the documentation is there. Are you coding Facility or MD or both?