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Wiki Emergency Room type B billing

luannw7

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Nyack, NY
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What CPT codes are to be billed for the ER docs professional billing for visits in a type B emergency room? Are they the Emergency Room codes OR the outpatient visit codes? I know on the facility side they are to bill out Gcodes to Medicare for type B. Thanks for your help!
LuAnn
 
99281 - 99285 can only be used if the type B ED is available 24 hours a day, per AMA guidelines in the CPT book. If not available 24 hrs, then 99201 - 99215 must be used.
 
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