Health Information Management

Pay-per-view: Report condition code 51 for nondiagnostic services unrelated to inpatient stay

APCs Insider, December 2, 2011

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 Consider this scenario: A 42-year-old female patient presents to the ED with ankle pain after falling from a ladder. The patient receives IV pain medication, and diagnostic x-rays confirm an uncomplicated fracture. The nurse places a splint on the patient's ankle, and the physician writes a prescription for oral pain medication. The physician then discharges the patient.

Later the same day, the patient experiences an allergic reaction and returns to the ED. The physician diagnoses the patient with an adverse allergic reaction to the narcotics, administers IV medication, and admits the patient for continued monitoring due to a history of acute and chronic asthma as well as diabetes.

Does the inpatient admission include both visits, or should coders code them separately?

Continue reading “Report condition code 51 for nondiagnostic services unrelated to inpatient stay” on HCPro’s website. Subscribers to Briefings on APCs have free access to this article in the November issue.



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