AHA Coding Clinic® for HCPCS - 2009 Issue 1

AHA Central Office on HCPCS response to E/M coding inquiries

The Central Office on HCPCS continues to receive requests for assistance in the assignment of appropriate evaluation and management (E/M) codes for hospital clinic and emergency department (ED) visits. While the Central Office on HCPCS appreciates your concerns regarding the coding and reporting of E/M services for hospital clinic and ED visits, and because at present there are no national visit guidelines, we cannot provide guidance for the reporting of these services. The Centers for Medicare & Medicaid Services (CMS) has consistently instructed hospitals to continue reporting visits based on their own internal hospital guidelines. In CY 2008, OPPS...

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