Wiki coding for E/R visits

[dsmith06351]

We use LCSWs in the E/R for crisis intervention. After being cleared by the E/R doctor the patient is seen by our LCSW for evaluation (mostly suicidal ideation). In most cases the patient is kept overnight and reevaluated the next morning and then discharged. We bill 90801 for the evaluation is there a code to bill for the second evauluation? The LCSW wants to bill 90804 but this does not seem to fit what they are doing.

Thank You for any help.

Denise Smith, CPC, CEMC

 

[abalkevitch]

Maybe a 99238 or 99239? Is it considered a discharge service?