tci General Surgery Coding Alert - 2005 Issue 10

You Be the Coder: ED Service or Not?

Question: The hospital asked my on-call surgeon to admit a patient. He spent one hour with the patient at the hospital but decided not to admit her. Normally, he sends patients from our office to the hospital, and I report an outpatient E/M code. Should I use emergency department services codes instead because the hospital contacted the surgeon?Montana Subscriber Answer: Yes, you could possibly report an ED service in this case, but first rule out the possibility that the ED visit qualified as a consult.If your surgeon took over the patient's care from the ED physician, you...

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