tci ED Coding & Reimbursement Alert - 2003 Issue 4

Reader Question: Avoid Charging Most ED Nebulizer Treatments

Question: Our ED physician performs nebulizer treatments. What documentation gets this service paid? Colorado SubscriberAnswer: Because the incident-to rules do not apply in the ED, the physician would have to perform the service to bill for it. Occasionally, a physician's extra expertise is required to perform a nursing function. Examples of this include peripheral IV starts and difficult Foley catheters. Proper documentation for these treatments includes a description of the procedure and why it was "bumped up" to the physician. Finding a reason why a physician's extra training would be useful in giving a nebulizer treatment, however, may be...

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