New or Established Patient CPT® Code range 99281- 99285

The Current Procedural Terminology (CPT) code range for Emergency Department Services 99281-99285 is a medical code set maintained by the American Medical Association.

Subscribe to Codify by AAPC and get the code details in a flash.

CPT® Code Range 99281- 99285
Section 99281-99285
New or Established Patient
On a CPT® code's hierarchy page, you get to see a medical code's neighbors, including the CPT® codes' official long descriptors. Seeing related codes helps coders choose the correct code, improving their accuracy rate.
Click on a blue code to see a sample of a CPT® code's details page.

October 02, 2023
The Medicare Advantage organization says they are being held to unreasonable standards. Health Net of California Inc. was recently called out by the Office of Inspector General OIG for failing to subm... [ Read More ]
October 02, 2023
Reduce the clutter on your home page with one click. Codify offers a lot of tools on its home page but you dont always want all of them expanded at once. There is a simple way to maximize the tools yo... [ Read More ]
October 02, 2023
Strategies for unlocking a dialogue with physicians. As auditors we bridge the gap between medical coding accuracy and financial stability in healthcare organizations. Its our role to knock on the doo... [ Read More ]
October 02, 2023
Encourage patients to take stock of their relationship with alcohol. From Dry January and Dry July to Sober September and Sober October the monthlong abstinence trend of shunning alcohol has gained gr... [ Read More ]
October 02, 2023
Meet a member who never stops learning and growing. Each month AAPC selects a member who demonstrates exemplary leadership qualities. This month weve chosen Jennifer Lavoie RN CPC. Lavoie has enjoyed ... [ Read More ]
Based on NCCI guidelines, modifier 25 would be appended to CPT 99497 when reported with 99223 when appropriate. For this NCCI edit pair, CPT 99223 is the column 1 code and 99497 is the column 2 code.... [ Read More ]
If the patient was not admitted and only in the ER, you don't bill a discharge. Just your emergency dept E/M 99281-99285, and any other separately billable services you may have provided. If the pati... [ Read More ]
When an insurance, for example, Medicaid, doesn't pay for observation services we would normally bill an equivalent ER code (99281-99285) for the initial visit since the patient is normally seen in th... [ Read More ]
I think your question is regarding the number of diagnoses or treatment options table in the MDM section? If the problem is new to the examiner, and there is additional workup planned you multiply the... [ Read More ]
I would bill an emergency visit, E/M service 99281 to 99285... [ Read More ]
I code for the Physician side, not the facility side. So, for us we would still code the ER visit with any procedure that was performed, 99281 - 99285. Example- 99282-57(decision for surgery, 90 day ... [ Read More ]
This pertains to a surgeon who is a consulting physician (i.e., not the admitting physician), who is asked to see a patient in the ED, who is then admitted by the hospital ED doctor. The surgeon then... [ Read More ]
Ok, yes I'm looking for the Pro-Fee side. When coding the ER visit (99281-99285), under MDM, if the patient is given Oral Meds During the visit, can I consider this as "over the counter medications" ... [ Read More ]
I code for a Neurologist. He has his own practice but frequently works in the hospital as well. He gets called to the ED for consultations. It's my understanding that if the patient has Medicare, he c... [ Read More ]
[QUOTE="thomas7331, post: 484031, member: 5404"] Yes, agree, but would just note that in the situation you describe the global period only applies to the provider who performed the cesarean section (o... [ Read More ]