tci ED Coding & Reimbursement Alert - 2003 Issue 4

You Be the Coder: How to Report ED Lab Work

Test your coding knowledge. Determine how you would code this situation before looking at the box below for the answer.Question: How should I bill for laboratory charges that an ED physician orders and interprets? I need to know the rules for the professional side of the service. Kentucky Subscriber Answer: You cannot charge for lab test interpretation codes as a professional service. The ED physician's interpretation is bundled into the E/M medical decision-making (MDM). Consequently, you should add one point in the MDM, for example, when the physician orders a complete blood count (CBC).Even if your physician...

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