tci ED Coding & Reimbursement Alert - 2003 Issue 3

Reader Question: Dont Always Expect Standby Reimbursement

Question: If a radiologist asks one of our ED physicians to render standby services during a computed tomography (CT) scan on a non-ED patient, like a sick intensive care unit (ICU) patient, how should I code the ED physician's work? Should I use 99360? New York SubscriberAnswer: In this situation, you should probably use a consult code. If your ED physician meets all the requirements for a consult including a clear request from another physician, a history, physical exam and written report back to the initiating physician then a code from the initial inpatient consult series (99251-99255) might get...

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