Emergent dx coding for ED patients
Folks, we have several contracts that either don't pay or pay a reduced rate for ED visits if the primary dx is not considered emergent.
Occasionally, the secondary dx will meet the emergent criteria, but the primary does not. Our coders are uncomfortable moving the secondary dx to the prime position in order to secure payment. I want us to be compliant, but I certainly would like to see us get paid.
Do any of your organizations face this challenge, and how do you handle it from a coding perspective? Would you move the secondary dx to the first position?
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