A 50 year old female presents to the ED with complaints of a bad cough. Several lab services and a chest X-ray are performed. She is seen by a physician and discharged home. Below is a subset of the claim that was submitted for this visit.
|Age:||50||External Cause of Injury Diagnosis Codes:||None|
|Sex:*||Female||Principal Diagnosis Code:||J22, Unspecified acute lower respiratory infection|
|Reason For Visit Diagnosis Code:||R05.9, Cough unspecified||Secondary Diagnosis Code:||R05.9, Cough unspecified|
|Diagnostic Procedure Codes:||
71046, X-ray exam chest 2 views
87400, Influenza A/B AG IA
87430, Strep A AG IA
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.