Q&A: Coding an emergency department E/M code with a HCPCS L-code

QUESTION: A patient presents to the emergency department (ED). After performing a medical screening exam, the provider determines that a prefabricated “off-the-shelf” splint needs to be applied. Is it appropriate to code both an ED evaluation and management (E/M) code and a HCPCS L-code to describe the device, fitting, and adjustment? If not, how should we code this type of billing encounter?

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