jenniferg30
Guest
We have been having multiple "discussions" on how to code for a patient who has been seen twice in the ED, and everytime I turn around I'm getting different directions from different people in the office. Sometimes the patient will be treated by the same physician on the second visit of the day and sometimes they will be treated by a different ED physician. Sometimes the patient will also be seen for the same diagnosis. At first we were voiding out the second visit and increasing the E/M on the first visit (ex: making the code a 99284 or a 99285 instead of a 99283). Then I was told to quit doing that and start using the modifier 27 on the second visit. Has anyone else came across this situation and how did you handle it?