tci ED Coding & Reimbursement Alert - 2004 Issue 11

Reader Question: Consider Work Done With Subsequent Care Codes

Question: Our emergency department physician answered a code blue to a patient's room, and documented a history of present illness, review of systems, histories, and a physical exam. Should I report subsequent hospital care for this service? How should I code for an ED doctor who, when called to the floor, only ordered tests and observed what the nursing staff did?Iowa Subscriber Answer: Your best choice for this scenario is to report one of these codes for subsequent hospital care:99231 - Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least...

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