Seven years as a hospitalist I've waited for this pain in the butt patient. Chief complaint? Bilateral buttock pain. No back pain. No leg pain. Just both butt cheeks were hurting.
ER Charge Nurse: Dr Happy. What's your admitting diagnosis?Happy: Pain in the butt.ER Charge Nurse: Seriously. What's your admitting diagnosis?Happy: Seriously. Pain in the butt.ER Charge Nurse: OK then.
I've had many patients who were a pain in the butt. But this is my first ever patient who was literally a pain in the butt. I wrote my admitting diagnosis as "Pain in the butt", billed a high level hospital admission code 99223 (RVU explained through a 99223) and moved on to the next patient.
