tci E/M Coding Alert - 2017 Issue 11

You Be the Coder: Get to Know 99283 for E/M ED Claims

Question: The patient reported to the ED in the morning for a fever and nausea and vomiting, and the physician performed a level-three ED E/M. That evening, the same patient arrived again at the ED after falling on her sidewalk and down a few steps, causing severe abrasions and a possible broken bone. Notes for the second visit indicated a level-four ED E/M. Which codes should we report? Nebraska Subscriber Answer: You would report 99283 (... an expanded problem focused history; an expanded problem focused examination; and medical decision making of moderate complexity) for the first visit and 99284...

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