Wiki E Codes in the ER

[Mindy Davis]

I am trying to find out some information about billing E codes in the ER.It has been my experience that the physician does not bill E codes that E codes are suppose to be billed by the facility/

 

[mitchellde]

Both should use the E codes they are not facility or physician specific, they are patient specific and incident specific. They never get first listed and they communicate very important information to the payers.

 

[Mindy Davis]

Thanks so much for your response. But I have had Medicare tell me to never list these on a claim for physician fees because they will automatically deny them.

 

[mitchellde]

no they will not automatically deny them, unless of course you list them first. Remember Ecodes can indicate liability of who is to pay the claim. If for instance you indicate a fall at a commerical location, then Medicare will deny the claim as it is not theirs to pay.