tci ED Coding & Reimbursement Alert - 2012 Issue 8

Reader Question: Take a breath and think before reporting ED nebulizer treatments on the professional side

Question: Our emergency department physician often performs nebulizer treatments. What documentation is needed to bill for this service? Colorado SubscriberAnswer: Since the "incident to" rules do not apply in the ED, the physician would have to perform the service in order 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 would include a description of the procedure and why it was "bumped up" to the physician. However, it could be hard to find a reason why a physician's extra...

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