Coding

Patient presents to the ER with severe nosebleeds for the past week. Blood work is performed revealing acute blood loss anemia. The ER doctor performs a limited, bilateral packing of the anterior nasal cavity. Patient's anemia will be following by her primary care physician.

I have codes 7847 2851 30901-50. Should the nosebleed be coded? Or should the 2851 be the principal diagnosis?

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  2. Code the 285.1 first, since this is the discharge dx, then 748.7 because this the reason for the blood loss, 30901-50 is the correct procedure code. But you did not put an EM code onto the encounter.

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