ED coding for failed procedures

loretta.hoffmeister@samcstl.orgloretta.hoffmeister@samcstl.org
edited May 2016 in CDI Talk Archive
If anyone does CDI in the ED, can you tell me if you charge/code for failed procedures performed by the ED Physician such as "failed radius/ulna closed reduction of fracture"? If so, do you have any problems with failed claims or issues with the orthopedic physicians receiving denials if the procedure was performed during the same ED/OBS/Inpatient encounter (or) if pt was discharged and to follow up as outpatient with orthopedist for further treatment? ................or do you not code/bill for "failed procedures" done in the ED because you know a repeat/or more extensive procedure will be performed by the orthopedist in the near future?

Thank you in advance for any input you may have to offer!
Loretta Hoffmeister, RN CCDS
Loretta.hoffmeister@samcstl.org


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