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Coding
Coding Pearls - Emergency Room Coding
“My group takes call at our local hospital, and this necessitates seeing patients in the emergency room (ER) on occasion. We are not all in agreement regarding what E/M codes should be used in this scenario. We have come up with different encounters:
-A patient seen in the ER. The patient is then discharged to follow up for outpatient care.
-A patient is seen in the ER and then admitted for continued medical treatment.
-A patient is seen in the ER and emergently taken straight to the operating room for surgical treatment.
What E/M code series would you recommend using for these different scenarios? Thank you for the help!”
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FDA Recalls
MIPS
Measures that are proposed to be ‘Topped Out” for 2026
A MIPS topped-out measure is a quality measure where almost all reporting clinicians are already performing at a very high level — meaning there’s little room left for improvement, and performance rates are clustered near the top.
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Coding
Coding Pearls - Trauma Coding
“We had a patient present with a fracture of her foot. The debate in the office is the ICD-10-CM definition of “subsequent care” as it refers to trauma. We saw the patient, diagnosed a fracture, and chose to treat with conservative care. Would those follow up visits be considered “subsequent care” or “initial care” while we follow through with the initial treatment for the fracture? Thank you for the input.”
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HIPAA