Gastroenterology Coding Alert

Reader Questions:

Use ED Codes With Confidence

Question: A patient with acute gastroenteritis comes to the emergency department (ED). The ED physician contacts the gastroenterologist to assess and treat the patient. The gastroenterologist evaluates the patient in the ED and then decides on a treatment method and arranges for prescriptions before ordering the patient's discharge. Which codes would I report? Georgia Subscriber Answer: You can code this service using one of the ED codes in the range 99281-99285 (Emergency department visit for the evaluation and management of a patient). Alternatively you could use 99201-99205 (Office or other outpatient visit for the evaluation and management of a new patient ...) if this is a new patient or 99212-99215 (Office or other outpatient visit for the evaluation and management of an established patient ...) if this is an established patient. Remember to code the place of service (POS) as code 23 (Emergency room -- hospital). Alternative: If the patient is [...]
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