A 26 year old male presents to the ED complaining of a headache. 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:||R51.0, Headache with orthostatic component, not elsewhere classified|
|Reason For Visit Diagnosis Code:||R51.0, Headache with orthostatic component, not elsewhere classified||Secondary Diagnosis Codes:||
D17.1, Benign lipomatous neoplasm of skin, subcutaneous tissue of trunk
|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.