Primary Care Coding Alert

Max Out Burn Claims When You Find 16000, Separate E/M Evidence

Net 16000 pay when treatment occurs. A sunburn can qualify as a burn and result in added pay -- provided the encounter meets treatment guidelines. Some burn care, however, only reaches the level of E/M service. Using this expert guidance will allow you to tell them apart. Check Notes for 16000 Clues While someone might technically be burned, you cannot automatically choose a burn treatment code for each patient, confirms Marcella Bucknam, CPC, CCS-P, CPC-H, CCS, CPC-P, COBGC, CCC, manager of compliance education for the University of Washington Physicians and Childrens University Medical Group Compliance Program. If a burn does not require any local treatment, then you should typically report the service with an E/M code, explains Kris Cuddy, CPC, CIMC, billing education and coding specialist at Mid-Michigan Physicians. Example: An established patient reports to the FP concerned about his sunburned back. The FP examines the patients injury, and decides that [...]
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