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A 60 year old male presents to the ED with complaints of a bad cough and shortness of breath. A chest CT scan and multiple nebulizer treatments are performed. He is seen by a physician and discharged home. Below is a subset of the claim that was submitted for this visit.
Age: | 60 | External Cause of Injury Diagnosis Codes: | None |
Sex:* | Male | Principal Diagnosis Code: | J45.51, Severe persistent asthma with (acute) exacerbation |
Reason For Visit Diagnosis Codes: |
R05.9, Cough unspecified R06.02, Shortness of breath |
Secondary Diagnosis Codes: |
R06.02, Shortness of breath R05.9, Cough unspecified |
Diagnostic Procedure Codes: |
94640 (2 units), Airway inhalation treatment
71270, CT thorax w/o & w/dye
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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.