ED Coding and Reimbursement Alert
Count Places, Not People, for ED Services
Question: How should I handle services rendered in the emergency department by non-emergency physicians, when there is no emergency-physician involvement? Should I report these services with 99281-99285? New Mexico Subscriber Answer: The bottom line: The ED evaluation and management codes are specific to the site of service, not the type of provider. If the non-emergency physician's services meet the criteria for an ED E/M service, you can appropriately assign one of the following codes:
ED Coding and Reimbursement Alert
- Anesthesia Coding Knocking You Out?
Hit the ground running with these do's and don'ts on anesthesia billing in the ED [...] - Bone Up on Diagnosis Coding for Acute Chest Syndrome
Signs-and-symptoms coding holds key to solid claims If your ED physician diagnoses a sickle-cell patient [...] - Sickle-Cell Codes to Keep in Mind
When reporting services related to acute chest syndrome (ACS), refer to this quick list for [...] - News You Can Use:
CMS Offers No Breathing Room With ICD-9/HCPCS Transition
Elimination of grace period boxes you in to Oct.1 Set your calendars, practices: CMS isn't [...] - 6 Surefire Tips to Get Your Cerumen Removal Claims Paid
Why you'll get denied if you report 69210 more than once per episode With numerous [...] - Reader Question:
Coding Interpretation of X-Rays
Question: How should I report a scenario in which the physician did not take x-rays [...] - Reader Question:
Consider Added MDM for Young Patients
Question: A 9-month-old child with eyes swollen shut presents to the emergency department. The physician [...] - You Be the Coder:
What Counts as an Incision?
Question: The physician removed an embedded fish hook by cutting the barb with wire cutters [...] - News You Can Use:
Who Will Speak for Your Practice In the EMTALA Advisory Group?
CMS wants viewpoints from patient advocates, hospitals and physicians You could have a hand in [...] - Reader Question:
Check Place and State for Tumor Code
Question: The physician excised a 2.7-centimeter tumor on a 34-year-old male outpatient. How should I [...] - Reader Question:
Count Places, Not People, for ED Services
Question: How should I handle services rendered in the emergency department by non-emergency physicians, when [...] - Reader Question:
John Hancock Might Not Cut It for EKGs
Question: Our doctors are under the impression that since our electrocardiogram (EKG) machine generates a [...] - Reader Question:
Stick Your Neck Out for Correct ROS Choice
Question: Our doctors use the phrase "Neck is supple" all the time in their documentation. [...] - Reader Question:
Don't Let 2nd Service Wrap Into Global Care
Question: I received a denial from Medicare for a patient who had two hip dislocation [...] - Reader Question:
Report E/M Code for Ear Wick
Question: What is the correct code for an ear-wick insertion? Oklahoma Subscriber Answer: Ear-wick insertion [...]
