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Clinical examples for ED coding

Payers often refer to these examples to determine the appropriate level of service for an emergency medicine claim. Caral Edelberg, CPC, CPMA, CAC, CCS-P, CHC, AHIMA-Approved ICD-10-CM/PCS Trainer, president of Edelberg Compliance Associates of Baton Rouge, La., created this reference chart of examples for both CPT and American College of Emergency Physician Guidelines. If your claim is consistent with a case example but coded differently, be sure you have the supporting information in the record.

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