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A 26 year old male presents to the ED complaining of a headache. The patient had labs with no other diagnostic testing. The patient received treatment and was discharged home. Below is a subset of the claim that was submitted for this visit.
Age: | 26 | External Cause of Injury Diagnosis Codes: | None |
Sex:* | Male | Principal Diagnosis Code: | R51.0, Headache with orthostatic component, not elsewhere classified |
Reason For Visit Diagnosis Code: | R51.0, Headache with orthostatic component, not elsewhere classified | Secondary Diagnosis Codes: |
D17.1, Benign lipomatous neoplasm of skin, subcutaneous tissue of trunk R11.0, Nausea |
Diagnostic Procedure Codes: |
80053, Comprehensive metabolic panel
85025, Blood count complete auto & auto differential WBC
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This total weight falls into the weight range used by the EDC Analyzer™ for a visit level 3. As such, the EDC Analyzer™ would recommend that the ED visit code on this claim be 99283 or G0382.