ED Coding and Reimbursement Alert
Emergency Department Coding:
Keep SCAT5 Coding in E/M Realm
Question: Encounter notes indicate that a patient presented to the emergency department (E... Read more
Keep SCAT5 Coding in E/M Realm
Question: Encounter notes indicate that a patient presented to the emergency department (E... Read more
Emergency Department Coding:
EMTALA Means No Patient Left Behind
Question: I am relatively new to emergency department (ED) coding, and I've heard a few co... Read more
EMTALA Means No Patient Left Behind
Question: I am relatively new to emergency department (ED) coding, and I've heard a few co... Read more
Emergency Department Coding:
Documentation Vital to Securing Critical Care Pay
Does your claim include a provider statement? Patients who report to the emergency depart... Read more
Documentation Vital to Securing Critical Care Pay
Does your claim include a provider statement? Patients who report to the emergency depart... Read more
Emergency Department Coding:
Choose Carefully on Refill E/M
Question: A patient with benign prostatic hyperplasia (BPH) without lower urinary tract sy... Read more
Choose Carefully on Refill E/M
Question: A patient with benign prostatic hyperplasia (BPH) without lower urinary tract sy... Read more
Emergency Department Coding:
Focus on Details in Lesion Coding
Size, location, complexity all figure into your choices. Coding for lesion removal in the... Read more
Focus on Details in Lesion Coding
Size, location, complexity all figure into your choices. Coding for lesion removal in the... Read more
Emergency Department Coding:
Definitive Dx Changes ICD-10-CM Code Choice
Question: A patient presents to the emergency department (ED) complaining of diarrhea, nau... Read more
Definitive Dx Changes ICD-10-CM Code Choice
Question: A patient presents to the emergency department (ED) complaining of diarrhea, nau... Read more
Emergency Department Coding:
Get Granular on Diverticulitis Dx
Question: Encounter notes indicate that a patient suffers from diverticulitis of the small... Read more
Get Granular on Diverticulitis Dx
Question: Encounter notes indicate that a patient suffers from diverticulitis of the small... Read more
Emergency Department Coding:
Tread Carefully When Billing ED Transfers to Observation Care
Medicare and CPT® disagree on the rules for ED transfers to observation. Ever since CPT... Read more
Tread Carefully When Billing ED Transfers to Observation Care
Medicare and CPT® disagree on the rules for ED transfers to observation. Ever since CPT... Read more
Emergency Department Coding:
Critical Care Bundles Vary by Age, Code
Question: Encounter notes indicate that the emergency department (ED) physician provided 5... Read more
Critical Care Bundles Vary by Age, Code
Question: Encounter notes indicate that the emergency department (ED) physician provided 5... Read more
Emergency Department Coding:
Constant Worry Could Be Generalized Anxiety Disorder
Question: If a patient has a diagnosis of “overanxious disorder,” what is the appropri... Read more
Constant Worry Could Be Generalized Anxiety Disorder
Question: If a patient has a diagnosis of “overanxious disorder,” what is the appropri... Read more
Emergency Department Coding:
Check for Guidance Before Reporting Elbow Injection
Question: A 42-year-old patient presented to the emergency department (ED) with left ... Read more
Check for Guidance Before Reporting Elbow Injection
Question: A 42-year-old patient presented to the emergency department (ED) with left ... Read more
Emergency Department Coding:
Pull Correct FBR Claims Each Time With This Advice
Do you know when an ED E/M becomes an FBR? It's spring again, which means rebirth, regrow... Read more
Pull Correct FBR Claims Each Time With This Advice
Do you know when an ED E/M becomes an FBR? It's spring again, which means rebirth, regrow... Read more
Emergency Department Coding:
Monitor Method, Size, and Depth When Selecting Debridement Codes
Remember add-on codes when additional surface area is addressed. When patients come to th... Read more
Monitor Method, Size, and Depth When Selecting Debridement Codes
Remember add-on codes when additional surface area is addressed. When patients come to th... Read more
Emergency Department Coding:
Remember 3 Dx Codes for This CKD/Hypertension Patient
Question: The emergency department (ED) provider performs an evaluation and management (E/... Read more
Remember 3 Dx Codes for This CKD/Hypertension Patient
Question: The emergency department (ED) provider performs an evaluation and management (E/... Read more
Emergency Department Coding:
Use This Code for Ganglion Cyst Treatments
Question: If a patient presents with three ganglion cysts on their ankle and foot and the ... Read more
Use This Code for Ganglion Cyst Treatments
Question: If a patient presents with three ganglion cysts on their ankle and foot and the ... Read more
Emergency Department Coding:
ICD-10-CM 2026: Abdominal Wall, Adverse Effect Dx Codes Coming
Note these new code sets for adverse reaction to dairy/eggs. Coders in emergency departme... Read more
ICD-10-CM 2026: Abdominal Wall, Adverse Effect Dx Codes Coming
Note these new code sets for adverse reaction to dairy/eggs. Coders in emergency departme... Read more
Emergency Department Coding:
Know These Differences Between These Office Types
Question: I just started working for a general practice whose physicians see patients in t... Read more
Know These Differences Between These Office Types
Question: I just started working for a general practice whose physicians see patients in t... Read more
ED Coding:
Use These Z Codes Primarily as Primary Diagnoses
Question: I have a rather odd claim in front of me. We are a small hospital in a very rura... Read more
Use These Z Codes Primarily as Primary Diagnoses
Question: I have a rather odd claim in front of me. We are a small hospital in a very rura... Read more
Emergency Department Coding:
Breeze Through 3 Common Summer Presentations With Key Tips
Certain ED complaints are more common when the temperatures rise. The temperature is up, ... Read more
Breeze Through 3 Common Summer Presentations With Key Tips
Certain ED complaints are more common when the temperatures rise. The temperature is up, ... Read more
Emergency Department Coding:
Remember These Clues for Manipulation Question
Question: A patient reported with an anterior displaced fracture of the sternal end of the... Read more
Remember These Clues for Manipulation Question
Question: A patient reported with an anterior displaced fracture of the sternal end of the... Read more
Emergency Department Coding:
Look for Specifics on Eye FB
Question: If a patient reports to the emergency department (ED) with a foreign body (FB) i... Read more
Look for Specifics on Eye FB
Question: If a patient reports to the emergency department (ED) with a foreign body (FB) i... Read more
Emergency Department Coding:
5 Tips Lead You to Laceration Repair Coding Success
Hint: Site, length, and depth all matter when reporting 12001-12057. When a patient prese... Read more
5 Tips Lead You to Laceration Repair Coding Success
Hint: Site, length, and depth all matter when reporting 12001-12057. When a patient prese... Read more
Emergency Department Coding:
Use This Dx Trio for Burn Patient
Question: A patient presented to the emergency department (ED) for a painful and blistered... Read more
Use This Dx Trio for Burn Patient
Question: A patient presented to the emergency department (ED) for a painful and blistered... Read more
Emergency Department Coding:
Use Specific Codes for These I&D
Question: A 54-year-old patient presents to the emergency department (ED) with a pain... Read more
Use Specific Codes for These I&D
Question: A 54-year-old patient presents to the emergency department (ED) with a pain... Read more
Emergency Department Coding:
5 Tips Lead to Stress-Free Wrist and Forearm Closed Fracture Coding
Hint: Don't forget to consider using modifiers 54 and 57 when warranted. Most fractures t... Read more
5 Tips Lead to Stress-Free Wrist and Forearm Closed Fracture Coding
Hint: Don't forget to consider using modifiers 54 and 57 when warranted. Most fractures t... Read more
Emergency Department Coding:
Get Your Documentation Straight for TPI Claims
Question: What CPT® codes should I report for this encounter? Also, I know that this is a... Read more
Get Your Documentation Straight for TPI Claims
Question: What CPT® codes should I report for this encounter? Also, I know that this is a... Read more
Emergency Department Coding:
Check Paralysis Status Before Choosing ICD-10-CM Code
Question: If a patient suffers from “lower paraparesis NOS,” what ICD-10-CM code shoul... Read more
Check Paralysis Status Before Choosing ICD-10-CM Code
Question: If a patient suffers from “lower paraparesis NOS,” what ICD-10-CM code shoul... Read more
Emergency Department Coding:
Remember to Code These Lesion Treatments Separately
Question: Encounter notes indicate that the emergency department (ED) physician shaved a p... Read more
Remember to Code These Lesion Treatments Separately
Question: Encounter notes indicate that the emergency department (ED) physician shaved a p... Read more
Emergency Department Coding:
Know Myocardial Infarction Types to Ace Dx Coding
Do you know what type of MI indicates sudden cardiac death? When a patient reports to the... Read more
Know Myocardial Infarction Types to Ace Dx Coding
Do you know what type of MI indicates sudden cardiac death? When a patient reports to the... Read more
Emergency Department Coding:
Get Physician Signoff on Critical Care Claims
Question: I am having trouble with the guidelines for critical care codes 99291 and +99292... Read more
Get Physician Signoff on Critical Care Claims
Question: I am having trouble with the guidelines for critical care codes 99291 and +99292... Read more
Emergency Department Coding:
Navigate E/M Codes for Patients in the Emergency Department
Time is definitely NOT of the essence when it comes to ED coding. When a patient presents... Read more
Navigate E/M Codes for Patients in the Emergency Department
Time is definitely NOT of the essence when it comes to ED coding. When a patient presents... Read more
Emergency Department Coding:
Rely On Modifier Trio for This Elbow Fix
Question: A 4-year-old patient presents to the emergency department (ED) with an obviously... Read more
Rely On Modifier Trio for This Elbow Fix
Question: A 4-year-old patient presents to the emergency department (ED) with an obviously... Read more
Emergency Department Coding:
Know Stages to Take Pressure Off When Coding These Ulcers
Question: A patient reports to the emergency department (ED) with a pressure ulcer on thei... Read more
Know Stages to Take Pressure Off When Coding These Ulcers
Question: A patient reports to the emergency department (ED) with a pressure ulcer on thei... Read more
Emergency Department Coding:
Differentiate Modifiers 25 and 57 to Stay Compliant
The key for ED providers is to count the global days. When your emergency department (ED)... Read more
Differentiate Modifiers 25 and 57 to Stay Compliant
The key for ED providers is to count the global days. When your emergency department (ED)... Read more