tci ED Coding & Reimbursement Alert - 2000 Issue 12

Reader Question: Two Nosebleeds, One Day

Question: A patient is seen in the emergency department at 6 a.m. for a nosebleed. Cautery was performed, and the patient was released. The patient returned at 10 p.m. for a nosebleed after using cocaine, and cautery was performed again. Can both visits be billed separately? Or does this apply to the provisions of only billing one visit on the same day? Sue Fronczek Medical Management Solutions Inc., Cherry Hill, N.J.Answer: If you have a separate, identifiable evaluation and management (E/M) service for something other than caring for the nosebleed, you would also code an...

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