tci ED Coding & Reimbursement Alert - 2003 Issue 6

Reader Question: Deliver Consultation Codes for Work Outside ED

Question: A patient in labor is admitted directly to the labor and delivery ward without ever going to the ED. During her delivery, she goes into atrial fibrillation, and the attending physician calls in the ED physician to consult and verify that she is in atrial fibrillation. After stabilization, the patient is transported to another facility. Which E/M code should I use for the ED physician's work? Iowa SubscriberAnswer: Your ED physician most likely provided a consultation when confirming that the patient in delivery went into atrial fibrillation (an abnormal, irregular heart rhythm with chaotic generation of electrical signals...

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