tci ED Coding & Reimbursement Alert - 2004 Issue 4

Reader Question: Examine Physician Work for Rabies Shot E/M

Question: A patient presented to the emergency department for a second shot in a series of three shots for rabies. Should I report these as low-level evaluation and management services (with code 99281), or can I use 99283 if all criteria are met?Pennsylvania Subscriber Answer: Ultimately, you should report the E/M code justified by the physician's chart documentation. While Appendix C in the CPT book describes a visit for a patient for tetanus toxoid immunization under 99281 (Emergency department visit for the evaluation and management of a patient, which requires these three key components: a problem-focused history, a...

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