A 27 year old female presents to the ED with complaints of chest pain. The patient was ordered applicable diagnostic testing. The patient received treatment and was discharged home. Below is a subset of the claim that was submitted for this visit.
|Age:||27||External Cause of Injury Diagnosis Codes:||None|
|Sex:*||Female||Principal Diagnosis Code:||R07.89, Other chest pain|
|Reason For Visit Diagnosis Code:||R07.9, Chest pain unspecified||Secondary Diagnosis Code:||R07.9, Chest pain unspecified|
|Diagnostic Procedure Codes:||
71046, X-ray exam chest 2 views
80047, Metabolic panel ionized ca
84484, Assay of troponin, quant
84703, Chorionic gonadotropin assay
85025, Complete CBC w/auto diff WBC
85379, Fibrin degradation, quant
93005, Electrocardiogram, tracing
This total weight falls into the weight range used by the EDC Analyzer™ for a visit level 5. As such, the EDC Analyzer™ would recommend that the ED visit code on this claim be 99285 or G0384.