You Might Also Like
Explore This IssueNovember 2013
Also By This Author
Trigger-Point Injection Coding
Mary, age 51, returns to the rheumatology office for a follow-up visit for her diagnosis of rheumatoid arthritis. The physician takes a detailed history, performs an expanded, problem-focused exam and the medical decision making is of low complexity.
During the visit, the patient complains of stiffness and swelling in the left hand, left elbow, and neck. The rheumatologist performs an X-ray of the left hand—two views—and reads the results during the visit. Because of the severity of the swelling, the rheumatologist decides to give the patient five trigger-point injections.
How should this be coded? Click here for the answer.