You Be the Coder:
Shoulder Separation and Repair
Published on Mon Sep 12, 2022
Question: The ED physician performs a level-four ED evaluation and management (E/M) service for a patient with right shoulder pain. After a complete shoulder X-ray, the physician diagnoses subluxation of the right shoulder (the hospital owns the X-ray equipment). The physician then performs closed treatment of the separated shoulder. During the surgery, they use manipulation. How should I report this encounter? [...]