tci ED Coding & Reimbursement Alert - 2000 Issue 8

You Be the Coder: Midlevel Providers

Question: We have a fast track/urgent care facility that is considered a clinic within the walls of our hospital as part of our emergency department (ED). When we have midlevel providers perform services here, are we required only to code them out as 99281? Our ED physicians are employees of the hospital and our hospital does the physician billing. We have the same price charged for 99281, 99282 and 99283. We use this as a marketing tool to be competitive with other walk-in care areas in town. Is it correct to code out the different codes and still have...

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