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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
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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.