LTibbetts
Guest
I need some back up in order to help prove a point to my supervisors (who are not certified coders by the way).
I do pro fees for the ER. I had a patient come in with cellulitis and they received an injection of antibiotics. She claims that since the pt received a shot (or there was a break in the skin done by us, as she calls it) that it is automatically a level three.
So, correct me if I am wrong, but for starters, an ER visit needs 3 out of 3 components, right? Plus, there was barely a physical exam at all, no ROS and no social hx done. So wouldn't it have to be dropped down? I am correct in this, right? I'm not sure how to tell her that I don't agree. Any help or back-up would be appreciated.
I do pro fees for the ER. I had a patient come in with cellulitis and they received an injection of antibiotics. She claims that since the pt received a shot (or there was a break in the skin done by us, as she calls it) that it is automatically a level three.
So, correct me if I am wrong, but for starters, an ER visit needs 3 out of 3 components, right? Plus, there was barely a physical exam at all, no ROS and no social hx done. So wouldn't it have to be dropped down? I am correct in this, right? I'm not sure how to tell her that I don't agree. Any help or back-up would be appreciated.