|
|
A 26-year-old male presents to the ED complaining of low back pain. The patient had labs with no other diagnostic testing. The patient received treatment and was discharged home. Below is a subset of the claim that was submitted for this visit.
Age: | 26 | External Cause of Injury Diagnosis Codes: | None |
Sex:* | Male | Principal Diagnosis Code: | M54.50, Low back pain, unspecified |
Reason For Visit Diagnosis Code: | M54.50, Low back pain, unspecified | Secondary Diagnosis Codes: |
D17.1, Benign lipomatous neoplasm of skin, subcutaneous tissue of trunk R11.0, Nausea |
Diagnostic Procedure Codes: |
80053, Comprehensive metabolic panel
85025, Blood count complete auto & auto differential WBC
|
This total weight falls into the weight range used by the EDC Analyzer™ for a visit level 3. As such, the EDC Analyzer™ would recommend that the ED visit code on this claim be 99283 or G0382.