tci Part B Insider - 2019 Issue Q3

Part B Coding Coach: Address 99285 Concerns With 3 Tips

Tip: Ensure your documentation backs up the higher-level E/M code. Whether you bill 99285 (Emergency department visit for the evaluation and management of a patient...) for every encounter or you reserve this high-level E/M code for special occasions, your notes must support the level of care. That’s why knowing the ins and outs to ensure your documentation is in line with the guidelines is critical. Read on for an emergency department (ED) refresher on how to bill this high-level code. 1. Know the Elements To report 99285, CPT® indicates, “usually, the presenting problem(s) are of high...

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