tci ED Coding & Reimbursement Alert - 2009 Issue 9

READER QUESTIONS :Ensure Counseling Claims With Pointed Questions

Question: Can I report alcohol cessation counseling codes along with ED E/M codes, or do I have to choose one or the other? Idaho Subscriber Answer: You can, and in most cases will, report counseling codes along with E/M services. The behavior change intervention codes are intended to be reported in addition to an E/M service when the provider furnishes them. Most counseling sessions in the ED occur after the provider performs some sort of E/M. Consider this case study: A patient presents to the ED with a large bruise on his forehead. He says he fell off the...

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