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A 50 year old female comes to the ED complaining of a bad cough. No labs or X-rays are completed. She is seen by a physician and is released home with a prescription. Below is a subset of the claim that was submitted for this visit.
Age: | 50 | External Cause of Injury Diagnosis Codes: | None |
Gender: | Female | Principal Diagnosis Code: | J20.9, Acute bronchitis, unspecified |
Reason For Visit Diagnosis Code: | R05, Cough | Secondary Diagnosis Code: | R05, Cough |
Diagnostic Procedure Codes: | None |
This total weight falls into the weight range used by the EDC Analyzer™ for a visit level 2. As such, the EDC Analyzer™ would recommend that the ED visit code on this claim be 99282 or G0381.
A 50 year old female comes to the ED complaining of a bad cough. Several lab services, a chest X-ray, and a breathing treatment are performed. She is seen by a physician and is released home with a prescription. Below is a subset of the claim that was submitted for this visit.
Age: | 50 | External Cause of Injury Diagnosis Codes: | None |
Gender: | Female | Principal Diagnosis Code: | J20.9, Acute bronchitis, unspecified |
Reason For Visit Diagnosis Code: | R05, Cough | Secondary Diagnosis Code: |
R05, Cough
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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.
A 50 year old female comes to the ED complaining of a bad cough. She has a history of congestive heart failure and COPD/emphysema. Several lab services, a chest X-ray, and a breathing treatment are performed. She is seen by a physician and is released home with a prescription. Below is a subset of the claim that was submitted for this visit.
Age: | 50 | External Cause of Injury Diagnosis Codes: | None |
Gender: | Female | Principal Diagnosis Code: | J20.9, Acute bronchitis, unspecified |
Reason For Visit Diagnosis Code: | R05, Cough | Secondary Diagnosis Codes: |
J44.9, Chronic Obstructive Pulmonary Disease, unspecified
I50.9, Heart failure, unspecified
R05, Cough
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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 4. As such, the EDC Analyzer™ would recommend that the ED visit code on this claim be 99284 or G0383.