Sep 1st, 2013
Be sure pediatric ED documentation and coding reflect the demands of your specialty. By Jim Strafford, CEDC, MCS-P Emergency department (ED) coding is place-of-service driven. Coding the five ED levels (99281-99285) and critical care is governed by the American Medical Association’s (AMA) CPT® guidelines, as well as the Centers for Medicare & Medicaid Services’ (CMS) ...
Apr 1st, 2013
By Ronda Tews, CPC, CHC, CCS-P Most emergency department (ED) visits are stressful for the patient, but too often they are also stressful for the coder or physician responsible for choosing the evaluation and management (E/M) level to report to the payer. At first glance, choosing a service level shouldn’t be hard: There are only ...
Dec 1st, 2012
By Catrena Smith, CPC, CCS, CCS-P, and Elizabeth Giustina, CCS-P  A common misconception is that hospital coding is synonymous with inpatient coding, but hospitals provide many services in addition to inpatient care. Hospital coders may find themselves coding for different settings, such as the facility’s outpatient clinics, emergency department (ED), urgent care center, ambulatory surgery ...
Jan 1st, 2011
By Sarah Todt, RN, CPC, CEDC Determining MDM using the 1995 Documentation Guidelines for Evaluation and Management Services and directions from CPT® Evaluation and Management (E/M) Services Guidelines poses unique challenges when coding emergency medicine E/M services. The three key components used in the emergency department (ED) for assigning E/M services include: history, exam, and ...
Jun 1st, 2010
By Holly J. Cassano, CPC As a Certified Professional Coder (CPC®) who supports emergency department (ED) physicians, I am often asked how to code appropriately for the physician component of critical care services in the ED. In response, I created these 10 commandments of critical care coding in the emergency room (ER). 1. Thou Shalt ...