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I would like to have your insights about this scenario:
DX: headache
history: comprehensive
exam: comprehensive
mdm: moderate
-visual acuity done, CT scan was done and Rx given no other complaints.
-no neuro checks/exam ordered or performed.
-discharged
Will this be a level 4 because of the CT scan? or just a level 3 because headache is the only presenting prob and dx?
Thanks.
I would like to have your insights about this scenario:
DX: headache
history: comprehensive
exam: comprehensive
mdm: moderate
-visual acuity done, CT scan was done and Rx given no other complaints.
-no neuro checks/exam ordered or performed.
-discharged
Will this be a level 4 because of the CT scan? or just a level 3 because headache is the only presenting prob and dx?
Thanks.
I would like to have your insights about this scenario:
DX: headache
history: comprehensive
exam: comprehensive
mdm: moderate
-visual acuity done, CT scan was ordered and Rx given no other complaints.
-no neuro checks/exam ordered or performed.
-discharged
Will this be a level 4 because of the CT scan? or just a level 3 because headache is the only dx?
Thanks.
Having trouble with 99284 vs 99285 decisions for discharged ED patients who present with chest pain. They’ve had a full workup (labs including troponin, CXR, EKG may be independently reviewed) and are sometimes treated with pain meds. It is difficult to tell if the CP is ‘compatible with symptoms of cardiac ischemia and/or pulmonary embolus’. The discharge diagnosis is generally chest pain. I am not sure if these patients are MDM moderate or high risk. What should I be looking for to support a level 5?
In the cases I am coding the patients are not admitted to IP or observation. I appreciate your thoughts. Thank you