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A 27 year old female presents to the ED with complaints of chest pain. The patient was ordered applicable diagnostic testing. The patient received treatment and was discharged home. Below is a subset of the claim that was submitted for this visit.
Age: | 27 | External Cause of Injury Diagnosis Codes: | None |
Sex:* | Female | Principal Diagnosis Code: | R07.89, Other chest pain |
Reason For Visit Diagnosis Code: | R07.9, Chest pain unspecified | Secondary Diagnosis Code: | R07.9, Chest pain unspecified |
Diagnostic Procedure Codes: |
71046, X-ray exam chest 2 views
80047, Metabolic panel ionized ca
84484, Assay of troponin, quant
84703, Chorionic gonadotropin assay
85025, Complete CBC w/auto diff WBC
85379, Fibrin degradation, quant
93005, Electrocardiogram, tracing
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This total weight falls into the weight range used by the EDC Analyzer™ for a visit level 5. As such, the EDC Analyzer™ would recommend that the ED visit code on this claim be 99285 or G0384.