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accident during a procedure

  1. #1
    Default accident during a procedure
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    Our MA was jabbed with a needle during a procedure. We ordered a blood test for the pt to make sure pt did not have HIV. What dx code do we use for this blood test?
    Teresa Lemack, CPC
    CHMG
    University of Colorado Health
    Phone: 719-365-6295
    Fax: 719-365-9910

  2. #2
    Location
    Columbia, MO
    Posts
    12,560
    Default
    It is screening for other viral disease I am in the airport with out my book but you can look it up. The coding guidelines address this issue.

  3. #3
    Default
    Tried that. Insurance won't pay for routine screening. This was not routine, we did it because of possible exposure to HIV. Any other suggestions?
    Teresa Lemack, CPC
    CHMG
    University of Colorado Health
    Phone: 719-365-6295
    Fax: 719-365-9910

  4. #4
    Default
    You are billing the patients insurance for your mistake? Was it the patients fault the MA got jabbed?

    I don't know if that is right or not, but where I work that is a cost absorbed by the office, not the patient.


    Laura, CPC

  5. #5
    Location
    Milwaukee WI
    Posts
    4,466
    Default I would NOT bill the patient
    I certainly would not bill the patient who has no medical reason for being screened for HIV. You are doing so just because your staff member got a needle stick.

    Now ... if you are talking about billing YOUR insurance for screening the MA's blood ... that's a different story. Here you have a dx of possible exposure.

    Also by submitting to the patient's insurance you have "marked" that patient's medical history.

    F Tessa Bartels, CPC, CEMC

  6. #6
    Location
    Albany, New York
    Posts
    456
    Default
    Tessa is correct on all 3 points.

    You certainly cannot hold the patient or their insurance liable for this incident.
    Karen Maloney, CPC
    Data Quality Specialist

  7. #7
    Location
    Columbia, MO
    Posts
    12,560
    Default
    I totally mis read this I thought they were screening the MA for some odd reason! So I will back track and agree with the others you cannot bill the patient's insurance.

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