Wiki ED:New Problem w or w/o additional work up

[JParker5]

Hi

I have a pt who came into the ER with Chest Pain. They had workup in the ER and nothing was found. Final diagnosis Chest Pain R/O MI. The ER physician stated he wants the pt to follow up with his PMD in a week. Would you consider this New Problem with additional work up?

 

[scicchitanoa]

Our MAC is Palmetto GBA J11B.... Palmetto has guidance that indicates:

"'Additional Work-up' consists of any diagnostic testing, laboratory testing, etc. and may be performed at the time of visit"

 

[abhishekrane32@yahoo.com]

no there is no work up done for chest pain... if physician orders any lab test, radiology test or a test from medicine section of CPT book or plans any surgery then u can consider workup