A 37 year old female presents to the ED with complaints of abdominal pain. Several lab services and a CT scan 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:||37||External Cause of Injury Diagnosis Codes:||None|
|Sex:*||Female||Principal Diagnosis Code:||R10.11, Right upper quadrant pain|
|Reason For Visit Diagnosis Code:||R10.9, Unspecified abdominal pain||Secondary Diagnosis Codes:||None|
|Diagnostic Procedure Codes:||
80053, Comprehensive metabolic panel
81001, Urinalysis dip stick/tablet reagent auto microscopy
85025, Blood count complete auto & auto differential WBC
74177, CT abdomen and pelvis with contrast
This total weight falls into the weight range used by the EDC Analyzer™ for a visit level 4. As such, the EDC Analyzer™ would recommend that the ED visit code on this claim be 99284 or G0383.