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ER Level

  1. Default ER Level
    Medical Coding 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.

    M Wood

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

  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
    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.

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