tci Part B Insider - 2008 Issue 1

PART B MYTHBUSTER: Give Your Emergency Dept. E/M Coding a Makeover

Tip: The ED is an outpatient setting, not inpatientMyth: Only a certified emergency department (ED) physician can report 99281-99285. Reality: Any physician can report these codes for ED services, as long as the visit meets the ED code criteria. But keep in mind that the ED service codes are not your only choice in these situations. Depending on the circumstances and the strength of the available documentation, you may be better off to claim a consultation, admission service or even critical care. When reporting ED services, keep three key points in mind: 1. You may report 99281-99285 only for...

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