tci E/M Coding Alert - 2017 Issue 8

Reader Question: ED Codes Don't Apply in the Office

Question: Our physician saw a patient in his office for an emergency. Can I use the emergency department E/M codes to report this visit? Washington Subscriber Answer: No, you cannot report ED E/M codes (99281-99285, Emergency department visitfor the evaluation and management of a patient, which requires these 3 key components …) for services your physician provided in his office. As evident within the description of that code family, the visit must take place in a recognized emergency department. According to the CPT® 2017 manual, you should only report ED E/M codes in an “organized hospital-based facility&rdquo...

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