tci ED Coding & Reimbursement Alert - 2001 Issue 2

Reader Question: Discharged Patients

Question: Are there any guidelines explaining what effect discharge has on billing for 99285? We have quite a few patients who are discharged and coded this way, usually after an evaluation for chest or abdominal pain. There are some scenarios in which the symptoms are obvious (septic workup in a dehydrated child who has intravenous [IV] hydration, meds, labs, coordination of care). Arizona SubscriberAnswer: Experts agree that patients who present with chest pain that is suggestive of a serious condition get a full evaluation for possible myocardial infraction (MI) or pulmonary embolus. If they are ultimately found not to...

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