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Thread: ER Level

  1. #1

    Default ER Level

    Promo: Code Books
    I am new to ER coding and was taught that under Complexity/Medical Decision Making: most encounters done in ER are "new problem to examiner; add'l work-up planned"; because they are almost always ordering X-rays, labs, ect......I was just informed that the "add'l w/u" is what is done OUTSIDE of the ER. Any comments would be appreciated.

    TIA,
    M Wood

  2. #2

    Thumbs up

    Any encounter done in the ER is considered new problem w/ additional work-up. Hope this helps

  3. #3

    Default ER # of DX or TX options

    Quote Originally Posted by lrhoward View Post
    Any encounter done in the ER is considered new problem w/ additional work-up. Hope this helps
    Hello Ms. Howard,
    I do not give every encounter in ER the additional work-up. If a patient was seen and treated, then recommended follow-up with PCP, then I would give "no additional workup planned".

  4. #4
    Join Date
    Apr 2007
    Location
    Mansfield
    Posts
    131

    Default

    When the physician says follow up with PCP in 3 days if not improving this is not additional work up. However if they say contacted PCP and appointment Mon. morning @ 9am this is additional work up planned and should be used.
    KAK6CPC

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