tci ED Coding & Reimbursement Alert - 2020 Issue Q4

E/M Coding: Check This Advice to Report Low-Level E/M Encounters

Sometimes you’ll find that 99281 is warranted and appropriate. When patients present to the ED, chances are strong that they’re experiencing serious medical situations that require the provider to perform a high level of evaluation and management — but in some cases, the documentation supports a low-level E/M code. If you’re unfamiliar with reporting codes like 99281 (Emergency department visit for the evaluation and management of a patient...), check out these tips to get a handle on this low-level code. Know what it entails: To fully understand when it’s appropriate to report 99281, read...

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