tci ED Coding & Reimbursement Alert - 2005 Issue 5

You Be the Coder: How Should You Bill for PAs in the ED?

Question: How should I bill for the PAs who are doing procedures in the emergency department, such as wound repair, fracture care, burn care, and incision and drainage? Our physicians sign the chart and a supervision note - is that enough documentation to justify billing under the physician's number, or do we still need more for Medicare?Virginia SubscriberAnswer: In the emergency department, the "shared visits" rule for physician assistant (PA) services applies only to evaluation and management codes. So, when reporting procedure codes to Medicare, you must use the provider number of whoever actually performed the services. For...

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