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

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JParker5

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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?
 
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"
 
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
;)
 
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